Acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonate

Abstract A 9-day-old male neonate was found to have a systolic murmur during a routine follow-up for skin jaundice. Imaging revealed a large mass at the bifurcation of the main pulmonary artery, causing significant bilateral stenosis. The patient underwent emergency surgery due to critically comprom...

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Main Authors: Wen Xie, Zewen Chen, Jian Zhuang, Jimei Chen, Hujun Cui, Xin Zang
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-024-03179-8
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author Wen Xie
Zewen Chen
Jian Zhuang
Jimei Chen
Hujun Cui
Xin Zang
author_facet Wen Xie
Zewen Chen
Jian Zhuang
Jimei Chen
Hujun Cui
Xin Zang
author_sort Wen Xie
collection DOAJ
description Abstract A 9-day-old male neonate was found to have a systolic murmur during a routine follow-up for skin jaundice. Imaging revealed a large mass at the bifurcation of the main pulmonary artery, causing significant bilateral stenosis. The patient underwent emergency surgery due to critically compromised pulmonary blood flow. Intraoperative exploration demonstrated a large ductus arteriosus aneurysm (DAA) with extensive thrombosis. The DAA was completely resected under deep hypothermic circulatory arrest, followed by reconstruction of the descending aorta and repair of the pulmonary artery bifurcation defect. The patient was discharged on the 20th postoperative day and remained asymptomatic at the 3-month follow-up, exhibiting normal growth and cardiac function.
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series Journal of Cardiothoracic Surgery
spelling doaj-art-3b2691e466eb4c4eba0de5cab5044eaa2025-08-20T02:39:35ZengBMCJournal of Cardiothoracic Surgery1749-80902024-12-011911410.1186/s13019-024-03179-8Acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonateWen Xie0Zewen Chen1Jian Zhuang2Jimei Chen3Hujun Cui4Xin Zang5Department of congenital heart surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical UniversityDepartment of congenital heart surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical UniversityDepartment of congenital heart surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical UniversityDepartment of congenital heart surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical UniversityDepartment of congenital heart surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical UniversityDepartment of congenital heart surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical UniversityAbstract A 9-day-old male neonate was found to have a systolic murmur during a routine follow-up for skin jaundice. Imaging revealed a large mass at the bifurcation of the main pulmonary artery, causing significant bilateral stenosis. The patient underwent emergency surgery due to critically compromised pulmonary blood flow. Intraoperative exploration demonstrated a large ductus arteriosus aneurysm (DAA) with extensive thrombosis. The DAA was completely resected under deep hypothermic circulatory arrest, followed by reconstruction of the descending aorta and repair of the pulmonary artery bifurcation defect. The patient was discharged on the 20th postoperative day and remained asymptomatic at the 3-month follow-up, exhibiting normal growth and cardiac function.https://doi.org/10.1186/s13019-024-03179-8Ductus arteriosusAneurysmThrombosisNeonateDiagnosis
spellingShingle Wen Xie
Zewen Chen
Jian Zhuang
Jimei Chen
Hujun Cui
Xin Zang
Acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonate
Journal of Cardiothoracic Surgery
Ductus arteriosus
Aneurysm
Thrombosis
Neonate
Diagnosis
title Acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonate
title_full Acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonate
title_fullStr Acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonate
title_full_unstemmed Acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonate
title_short Acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonate
title_sort acute thrombosis of ductus arteriosus aneurysm causing bilateral pulmonary artery occlusion in a neonate
topic Ductus arteriosus
Aneurysm
Thrombosis
Neonate
Diagnosis
url https://doi.org/10.1186/s13019-024-03179-8
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