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Successful Surgical Management

D. Preston Flanigan, MD; Charles J. H. Stolar, MD; Kevin C. Pringle, MB, ChB, FRACS; James J. Schuler, MD; Elizabeth Fisher, MD; Dharmapuri Vidyasager, MD

Arch Surg. 1982;117(3):371-374.

Abstract
• Neonatal arterial thrombosis has become more common with the use of umbilical artery catheters; however, catheterinduced aortic thrombosis is rare. A review of the literature disclosed a 100% mortality from medically managed neonatal aortic thrombosis. Two cases of umbilical artery catheterinduced acute neonatal thrombosis were managed successfully by surgical thrombectomy. Severe lower extremity ischemia and hypertension with aortic occlusion developed in two neonates, and intractable congestive heart failure developed in one of the neonates. This seems to be the first documented report of successful surgical treatment of umbilical artery catheterinduced aortic thrombosis. Acute neonatal aortic occlusion should be considered a surgical emergency.

(Arch Surg 1982;117:371-374)

Author Affiliations
From the Departments of Surgery (Drs Flanigan, Stolar, Pringle, and Schuler) and Pediatrics (Drs Fisher and Vidyasager), University of Illinois Medical Center, Chicago.

Footnotes
Accepted for publication April 27, 1981.

Reprint requests to Division of Vascular Surgery, Department of Surgery, University of Illinois, PO Box 6998, Chicago, IL 60680 (Dr Flanigan).

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