A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report.
A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report.
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DOI：
10.1186/s13256-021-03078-9
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发表时间：
2021-10-25
影响因子：
1
通讯作者：
Lopriore E
中科院分区：
文献类型：
--
作者：
van Vonderen JJ;Keus JMH;van Schaik J;Smiers FJ;Ten Harkel DJ;Lopriore E
在这个病例报告中，我们描述了一个非常罕见的病例，在出生后的最初几个小时内，足月婴儿因卵圆孔动脉瘤引起的动脉栓塞导致严重肢体缺血。新生儿男性高加索病人提出了在产科病房右脚缺血。用硝酸甘油喷雾和治疗剂量的低分子肝素治疗缺血。在产后超声心动图筛查中发现卵圆孔动脉瘤。这被认为是引起肢体缺血的栓子的来源。在出生时和随访中，没有发现凝血障碍。右前脚大面积缺血，导致1、2、3趾缺失。在生命的第一年没有发现明显的功能丧失。严重的肢体缺血可由卵圆孔动脉瘤引起的栓塞引起，可以用肝素治疗。
In this case report, we describe a very rare case of severe limb ischemia due to an arterial embolus caused by an aneurysm of the oval foramen in a term-born infant that occurred in the first few hours after birth. A newborn male Caucasian patient presented on the maternity ward with ischemia of the right foot. Ischemia was treated with nitroglycerin spray and low-molecular-weight heparin in therapeutic dosage. An aneurysm of the oval foramen was found during postnatal echocardiography screening. This was thought to be the source of an embolus causing limb ischemia. At birth and upon follow-up, no clotting disorders were found. A large part of the right forefoot was ischemic, leading to loss of digits 1, 2, and 3. No significant loss of function was found in the first year of life. Severe limb ischemia can be caused by an embolus arising from an aneurysm of the oval foramen and can be treated with heparin.
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影响因子：
4.3
作者：
Wang, S. Keisin;Lemmon, Gary W.;Murphy, Michael P.
通讯作者：
Murphy, Michael P.
影响因子：
7.5
作者：
Monagle, Paul;Cuello, Carlos A.;Vesely, Sara K.
通讯作者：
Vesely, Sara K.
影响因子：
37.8
作者：
CHESLER, E;TUCKER, RBK;BARLOW, JB
通讯作者：
BARLOW, JB
DOI：
10.1016/j.jdmv.2017.11.007
发表时间：
2018-02-01
期刊：
Journal de medecine vasculaire
影响因子：
--
作者：
Ayad, A;Lemouakni, S;Barkat, A
通讯作者：
Barkat, A
DOI：
10.1016/j.jtcvs.2005.09.046
发表时间：
2006-02-01
影响因子：
6
作者：
Marijon, E;Ou, P;Bonnet, D
通讯作者：
Bonnet, D