Case Report
A male newborn with a gestational age of 38w and birth weight of 2900g
was consulted to our clinic because of murmur and 5% difference in
pulse oximetry screening test in first day of life. Physical examination
was normal except 2/6 cardiac murmur. Echocardiography revealed a small
sized apical muscular ventricular septal defect and ductal patency with
a large ductal aneurysm, narrowed pulmonary end with left to right shunt
and swirling motion in the aneurysm (Fig.1a and 1b, Video 1 and 2). The
patient was asymptomatic, therefore we decided for clinical follow up
without medication. On the third day of life, echocardiography revealed
closed pulmonary end of the ductus and presence of trombus in the
aneurysm extending towards decscending aorta (Fig. 1c and Video 3).
Surgical resection of ductal aneurysm was enrolled because of risk of
embolism (Fig. 1d). Post-operative echocardiography showed residual
thrombosis in the aortic side, which fully disappeared on the second
week of life with low molecular weight heparin treatment.