PEDIATRICS Vol. 34 No. 4 October 1964, pp. 550-553
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THROMBOTIC OCCLUSION OF THE BIFURCATION OF THE AORTA IN INFANCY

A Case with Successful Surgical Therapy

John G. Raffensperger M.D.1, Ivan A. D'Cruz M.D., M.R.C.P.2, and Alois R. Hastreiter M.D.3

1 Department of Pediatric Surgery, Cook County Children's Hospital, Hektoen Institute for Medical Research
2 Department of Pediatric Cardiology, Cook County Children's Hospital, Hektoen Institute for Medical Research
3 The Department of Pediatrics of the University of Illinois College of Medicine, Chicago, Illinois

Occlusion of the abdominal aorta is a rare and usually fatal event in infancy and childhood. The etiology remains uncertain in most of the 32 cases that have been reported so far in the pediatric age group. Inflammatory and degenerative aortic changes, low-grade umbilical sepsis, concomitant systemic infections, and spread of clot from a thrombosing ductus arteriosus are possible etiological factors.

This is a report of the occlusion of the aortic bifurcation by a thrombus in a 9-month-old Mongoloid infant. The success of the surgical procedure (embolectomy) performed on this patient is attributed to early diagnosis and therapy.

Submitted on June 3, 1964
Accepted on June 23, 1964