Multifactorial Neonatal Thrombosis in Inferior Vena Cava Dislodged to the Right Atrium: A Case Report

Abstract

Background: Neonatal thrombotic diseases can cause mortality or serious morbidity and disability.<br />Case report: In this report, we present a case of neonatal inferior vena cava thromboembolism with several underlying<br />factors. Hereditary thrombophilia and genetic mutation in plasminogen activator inhibitor-1 and MTHFR A1298C genes<br />in conjunction with cleft palate resulted in poor lactation and hypernatremic dehydration. A peripherally inserted<br />central catheter in the inferior vena cava was an additional underlying factor. Thrombosis mass was dislodged to the<br />right atrium while asymptomatic and accidentally detected during routine echocardiography.<br />Conclusion: Surgical thrombectomy was done successfully, and the mass was removed from the right atrium.