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Resolution of atrial thrombosis with heparin in a newborn with atrial flutter
Author(s) -
Bronzetti Gabriele,
D’Angelo Cinzia,
Angelini Andrea,
Picchio Fernando Maria,
Boriani Giuseppe
Publication year - 2009
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2009.01235.x
Subject(s) - medicine , atrial flutter , thrombus , cardiology , sinus rhythm , cardioversion , thrombosis , heparin , patent foramen ovale , atrial fibrillation , migraine
Atrial thrombosis is a relatively rare event in children. We report a case of a newborn with AFI who after restoration of sinus rhythm, developed atrial thrombus on a prominent Chiari network floating between the right and left atrium through the patent foramen ovale. The thrombus was resolved following treatment with heparin without events. Conclusion: Atrial stunning was proposed as a key mechanistic phenomenon because the thrombus occurred after the cardioversion of AFI to sinus rhythm. Heparin may be effective in the resolution of atrial thrombus within a few days.