Successful Percutaneous Thrombectomy of the Left Pulmonary Artery in a Neonate After a Patent Ductus Arteriosus Clipping

Shota Muraji; Toshiki Kobayashi; Shuntaro Oka; Takuro Kojima; Shigeki Yoshiba; Masayo Kanai; Hirotaka Ishido; Satoshi Masutani; Ryusuke Hosoda; Ayumu Masuoka; Takaaki Suzuki; Naokata Sumitomo

doi:10.1536/ihj.20-533

Case Reports

Successful Percutaneous Thrombectomy of the Left Pulmonary Artery in a Neonate After a Patent Ductus Arteriosus Clipping

Shota Muraji, Toshiki Kobayashi, Shuntaro Oka, Takuro Kojima, Shigeki Yoshiba, Masayo Kanai, Hirotaka Ishido, Satoshi Masutani, Ryusuke Hosoda, Ayumu Masuoka, Takaaki Suzuki, Naokata Sumitomo

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Keywords: Catheter intervention, Infant, Thrombus, Pulmonary infarction

JOURNAL FREE ACCESS

2021 Volume 62 Issue 3 Pages 706-709

DOI https://doi.org/10.1536/ihj.20-533

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Abstract

We report a neonate with a successful percutaneous thrombectomy of a total thrombotic occlusion of the left pulmonary artery (LPA) after a surgical clipping for a patent ductus arteriosus (PDA). We suspected the compression of the LPA by the clipping and postoperative hemodynamic instability caused the LPA obstruction. After the surgical removal of the PDA clip and division of the PDA, we could safely retrieve the LPA thrombus with a non-hydrodynamic thrombectomy catheter for coronary arteries.

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