Pediatric Cardiology

, Volume 15, Issue 6, pp 311–312 | Cite as

Displacement of preexisting thrombus by umbilical vein catheterization

  • Jay S. Chandar
  • Steven B. Wolfe
Case Reports


Balloon atrial septostomy is recommended as a standard palliative procedure in neonates with congenital heart defects who are dependent on intracardiac shunting. We describe an unusual and unreported complication associated with “bedside” balloon atrial septostomy. The umbilical venous catheterization resulted in displacement of a thrombus from the ductus venousus or the hepatic vein. We recommend careful two-dimensional echocardiographic monitoring during such procedures.

Key Words

Balloon atrial septostomy Intracardiac thrombus Two-dimensional echocardiography 


  1. 1.
    Abinader E, Zeltzer M, Riss E (1970) Transumbilical atrial septostomy in the newborn.Am J Dis Child 119:354–356Google Scholar
  2. 2.
    Baker EJ, Allan LD, Tynan MJ, Jones O, Joseph MC, et al (1984) Balloon atrial septostomy in the neonatal intensive care unit.Br Heart J 51:377–378Google Scholar
  3. 3.
    D'orsogna L, Lam J, Sandor GGS, Patterson MWH (1989) Assessment of bedside umbilical vein balloon septostomy using two-dimensional echocardiographic guidance in transposition of great arteries.Int J Cardiol 25:271–278Google Scholar
  4. 4.
    Lin AE, Di Sessa TG, Williams RG (1986) Balloon and blade atrial septostomy facilitated by two-dimensional echocardiography.Am J Cardiol 57:273–277Google Scholar
  5. 5.
    Meyer WW, Lind J (1966) The ductus venosus and the mechanism of its closure.Arch Dis Child 41:597–605Google Scholar
  6. 6.
    Roguin N, Sujov P, Montag J, Zeltzer M, Riss E (1984) Transumbilical balloon atrial septostomy for transposition of great arteries in infants under the age of 60 hours.Am Heart J 107:174–176Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1994

Authors and Affiliations

  • Jay S. Chandar
    • 1
  • Steven B. Wolfe
    • 1
  1. 1.Department of Pediatrics, Division of Pediatric CardiologyUniversity of Miami School of MedicineMiamiUSA

Personalised recommendations