ISQUÉMIA NO RECÉM-NASCIDO — RELATO DE UM CASO
DOI:
https://doi.org/10.48750/acv.64Palavras-chave:
Gangrena, Recém-nascido, trombose arterialResumo
A Isquémia aguda de um membro e gangrena no recém-nascido são uma condição rara e desafiadora.
Em crianças, o comprometimento vascular que afeta os membros no período pós-natal pode ser resultante de distúrbios da coagulação, sépsis, diabetes gestacional ou lesões iatrogênicas.
A abordagem clínica desses pacientes pode variar desde, terapia conservadora até a opções mais invasivas como trombólise e a tromboembolectomia cirúrgica em uma população selecionada.
Descrevemos o caso de um recém-nascido com uma gangrena do membro inferior.
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Referências
1. Moazzam A, Riaz M, Brennen M. Neonatal gangrene in an extremity
of an infant of a diabetic mother. BJOG. 2003 Jan; 110:74-6
2. Long DK, Lorant D. Multiple arterial thrombi and in utero leg gangrene
in an infant of a diabetic mother. J Perinatol 2002; 22: 424-427
3. Valderrama E, Gribetz I, Strauss L. Peripheral gangrene in a
newborn infant associated with renal and adrenal vein thrombosis.
J Paediatr 1972 ;80: 101–103
4. Stuart MJ, Sunderji SG, Allen JB. Decreased prostacyclin production
in the infant of the diabetic mother. J Lab Clin Med 1981; 98: 412–416
5. Vasquez P, Burd A, Mehta R, et al. Resolution of peripheral artery
catheter-induced ischemic injury following prolonged treatment
with topical nitroglycerin in a newborn: a case report. J Perinatol
2003;23(4):348e50.
6. Al-Salem A, Naga M, et al. Neonatal gangrene of the extremity:
A report of three cases and review of the literature. Journal of
Pediatric Surgical Specialties 8.4-2014
7. Arshad A, McCarthy MJ. Management of limb ischaemia in the neonate
and infant. Euro J Vascular Endovascular Surg 2009; 38:61-5.
8. Kayssi, Ahmed, Shaikh F, Roche-Nagle G, et al. "Management of
acute limb ischemia in the pediatric population." Journal of vascular
surgery 60.1 (2014): 106-110
9. Friedman J, Fabre J, Netscher D, et al. Treatment of acute neonatal
vascular injuries e the utility of multiple interventions.J Paediatr
Surg 1999;34(6):940e5.
10. Theile RJ, Coombs CJ. Microvascular and thrombolytic revascularization
of an arm in a 32-week gestation neonate: case report and
review of the literature. J Reconstr Microsurg 1996;12(2):539e42
11. Stavorovsky M, Iellin A, Spirer Z. Acute ischemia of the limb in a
newborn treated successfully by thrombectomy. Am J Surg. 1975
Mar; 129:337-40.
of an infant of a diabetic mother. BJOG. 2003 Jan; 110:74-6
2. Long DK, Lorant D. Multiple arterial thrombi and in utero leg gangrene
in an infant of a diabetic mother. J Perinatol 2002; 22: 424-427
3. Valderrama E, Gribetz I, Strauss L. Peripheral gangrene in a
newborn infant associated with renal and adrenal vein thrombosis.
J Paediatr 1972 ;80: 101–103
4. Stuart MJ, Sunderji SG, Allen JB. Decreased prostacyclin production
in the infant of the diabetic mother. J Lab Clin Med 1981; 98: 412–416
5. Vasquez P, Burd A, Mehta R, et al. Resolution of peripheral artery
catheter-induced ischemic injury following prolonged treatment
with topical nitroglycerin in a newborn: a case report. J Perinatol
2003;23(4):348e50.
6. Al-Salem A, Naga M, et al. Neonatal gangrene of the extremity:
A report of three cases and review of the literature. Journal of
Pediatric Surgical Specialties 8.4-2014
7. Arshad A, McCarthy MJ. Management of limb ischaemia in the neonate
and infant. Euro J Vascular Endovascular Surg 2009; 38:61-5.
8. Kayssi, Ahmed, Shaikh F, Roche-Nagle G, et al. "Management of
acute limb ischemia in the pediatric population." Journal of vascular
surgery 60.1 (2014): 106-110
9. Friedman J, Fabre J, Netscher D, et al. Treatment of acute neonatal
vascular injuries e the utility of multiple interventions.J Paediatr
Surg 1999;34(6):940e5.
10. Theile RJ, Coombs CJ. Microvascular and thrombolytic revascularization
of an arm in a 32-week gestation neonate: case report and
review of the literature. J Reconstr Microsurg 1996;12(2):539e42
11. Stavorovsky M, Iellin A, Spirer Z. Acute ischemia of the limb in a
newborn treated successfully by thrombectomy. Am J Surg. 1975
Mar; 129:337-40.
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Publicado
2018-06-07
Como Citar
1.
Rodrigues R, Anacleto G, Mendes C, Varino J, Marinho A, Pereira B, Moreira M, Correia M, Lima P, Gonçalves Óscar. ISQUÉMIA NO RECÉM-NASCIDO — RELATO DE UM CASO. Angiol Cir Vasc [Internet]. 7 de Junho de 2018 [citado 24 de Novembro de 2024];14(2):141-3. Disponível em: https://acvjournal.com/index.php/acv/article/view/64
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