A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report

BACKGROUND: 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. CASE PRESENTATION: A newborn male Caucasian patient presented on the mate...

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Autores principales: van Vonderen, J. J., Keus, J. M. H., van Schaik, J., Smiers, F. J., ten Harkel, D. J., Lopriore, E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543854/
https://www.ncbi.nlm.nih.gov/pubmed/34696819
http://dx.doi.org/10.1186/s13256-021-03078-9
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author van Vonderen, J. J.
Keus, J. M. H.
van Schaik, J.
Smiers, F. J.
ten Harkel, D. J.
Lopriore, E.
author_facet van Vonderen, J. J.
Keus, J. M. H.
van Schaik, J.
Smiers, F. J.
ten Harkel, D. J.
Lopriore, E.
author_sort van Vonderen, J. J.
collection PubMed
description BACKGROUND: 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. CASE PRESENTATION: 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. CONCLUSION: 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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spelling pubmed-85438542021-10-25 A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report van Vonderen, J. J. Keus, J. M. H. van Schaik, J. Smiers, F. J. ten Harkel, D. J. Lopriore, E. J Med Case Rep Case Report BACKGROUND: 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. CASE PRESENTATION: 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. CONCLUSION: Severe limb ischemia can be caused by an embolus arising from an aneurysm of the oval foramen and can be treated with heparin. BioMed Central 2021-10-25 /pmc/articles/PMC8543854/ /pubmed/34696819 http://dx.doi.org/10.1186/s13256-021-03078-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
van Vonderen, J. J.
Keus, J. M. H.
van Schaik, J.
Smiers, F. J.
ten Harkel, D. J.
Lopriore, E.
A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report
title A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report
title_full A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report
title_fullStr A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report
title_full_unstemmed A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report
title_short A neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report
title_sort neonate with spontaneous arterial limb ischemia and an aneurysm of the oval foramen: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8543854/
https://www.ncbi.nlm.nih.gov/pubmed/34696819
http://dx.doi.org/10.1186/s13256-021-03078-9
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