Prenatal and Neonatal Pulmonary Thrombosis as a Potential Complication of SARS-CoV-2 Infection in Late Pregnancy

Neonatal venous thrombosis is a rare condition that can be iatrogenic or occur due to viral infections or genetic mutations. Thromboembolic complications are also commonly observed as a result of SARS-CoV-2 infections. They can affect pediatric patients, especially the ones suffering from multisyste...

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Main Authors: Gazala Abdulaziz-Opiela, Anna Sobieraj, Greta Sibrecht, Julia Bajdor, Bartłomiej Mroziński, Zuzanna Kozłowska, Rafał Iciek, Katarzyna Wróblewska-Seniuk, Ewa Wender-Ożegowska, Tomasz Szczapa
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/24/8/7629
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author Gazala Abdulaziz-Opiela
Anna Sobieraj
Greta Sibrecht
Julia Bajdor
Bartłomiej Mroziński
Zuzanna Kozłowska
Rafał Iciek
Katarzyna Wróblewska-Seniuk
Ewa Wender-Ożegowska
Tomasz Szczapa
author_facet Gazala Abdulaziz-Opiela
Anna Sobieraj
Greta Sibrecht
Julia Bajdor
Bartłomiej Mroziński
Zuzanna Kozłowska
Rafał Iciek
Katarzyna Wróblewska-Seniuk
Ewa Wender-Ożegowska
Tomasz Szczapa
author_sort Gazala Abdulaziz-Opiela
collection DOAJ
description Neonatal venous thrombosis is a rare condition that can be iatrogenic or occur due to viral infections or genetic mutations. Thromboembolic complications are also commonly observed as a result of SARS-CoV-2 infections. They can affect pediatric patients, especially the ones suffering from multisystem inflammatory syndrome in children (MIS-C) or multisystem inflammatory syndrome in neonates (MIS-N). The question remains whether the maternal SARS-CoV-2 infection during pregnancy can lead to thromboembolic complications in fetuses and neonates. We report on a patient born with an embolism in the arterial duct, left pulmonary artery, and pulmonary trunk, who presented several characteristic features of MIS-N, suspecting that the cause might have been the maternal SARS-CoV2 infection in late pregnancy. Multiple genetic and laboratory tests were performed. The neonate presented only with a positive result of IgG antibodies against SARS-CoV-2. He was treated with low molecular weight heparin. Subsequent echocardiographic tests showed that the embolism dissolved. More research is necessary to evaluate the possible neonatal complications of maternal SARS-CoV-2 infection.
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spelling doaj.art-b01ba608dc9a4eb382d0fa628297038a2023-11-17T19:43:19ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-04-01248762910.3390/ijms24087629Prenatal and Neonatal Pulmonary Thrombosis as a Potential Complication of SARS-CoV-2 Infection in Late PregnancyGazala Abdulaziz-Opiela0Anna Sobieraj1Greta Sibrecht2Julia Bajdor3Bartłomiej Mroziński4Zuzanna Kozłowska5Rafał Iciek6Katarzyna Wróblewska-Seniuk7Ewa Wender-Ożegowska8Tomasz Szczapa9Faculty of Medicine, Poznan University of Medical Sciences, 61-701 Poznan, PolandFaculty of Medicine, Poznan University of Medical Sciences, 61-701 Poznan, PolandII Department of Neonatology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Radiology, Nicolaus Copernicus Hospital, 80-803 Gdansk, PolandDepartment of Pediatric Cardiology, Poznan University of Medical Sciences, 61-701 Poznan, PolandII Department of Neonatology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Reproduction, Poznan University of Medical Sciences, 61-701 Poznan, PolandII Department of Neonatology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Reproduction, Poznan University of Medical Sciences, 61-701 Poznan, PolandII Department of Neonatology, Poznan University of Medical Sciences, 61-701 Poznan, PolandNeonatal venous thrombosis is a rare condition that can be iatrogenic or occur due to viral infections or genetic mutations. Thromboembolic complications are also commonly observed as a result of SARS-CoV-2 infections. They can affect pediatric patients, especially the ones suffering from multisystem inflammatory syndrome in children (MIS-C) or multisystem inflammatory syndrome in neonates (MIS-N). The question remains whether the maternal SARS-CoV-2 infection during pregnancy can lead to thromboembolic complications in fetuses and neonates. We report on a patient born with an embolism in the arterial duct, left pulmonary artery, and pulmonary trunk, who presented several characteristic features of MIS-N, suspecting that the cause might have been the maternal SARS-CoV2 infection in late pregnancy. Multiple genetic and laboratory tests were performed. The neonate presented only with a positive result of IgG antibodies against SARS-CoV-2. He was treated with low molecular weight heparin. Subsequent echocardiographic tests showed that the embolism dissolved. More research is necessary to evaluate the possible neonatal complications of maternal SARS-CoV-2 infection.https://www.mdpi.com/1422-0067/24/8/7629pulmonary thrombosisSARS-CoV-2neonatal thrombosisCOVID-19 complications
spellingShingle Gazala Abdulaziz-Opiela
Anna Sobieraj
Greta Sibrecht
Julia Bajdor
Bartłomiej Mroziński
Zuzanna Kozłowska
Rafał Iciek
Katarzyna Wróblewska-Seniuk
Ewa Wender-Ożegowska
Tomasz Szczapa
Prenatal and Neonatal Pulmonary Thrombosis as a Potential Complication of SARS-CoV-2 Infection in Late Pregnancy
International Journal of Molecular Sciences
pulmonary thrombosis
SARS-CoV-2
neonatal thrombosis
COVID-19 complications
title Prenatal and Neonatal Pulmonary Thrombosis as a Potential Complication of SARS-CoV-2 Infection in Late Pregnancy
title_full Prenatal and Neonatal Pulmonary Thrombosis as a Potential Complication of SARS-CoV-2 Infection in Late Pregnancy
title_fullStr Prenatal and Neonatal Pulmonary Thrombosis as a Potential Complication of SARS-CoV-2 Infection in Late Pregnancy
title_full_unstemmed Prenatal and Neonatal Pulmonary Thrombosis as a Potential Complication of SARS-CoV-2 Infection in Late Pregnancy
title_short Prenatal and Neonatal Pulmonary Thrombosis as a Potential Complication of SARS-CoV-2 Infection in Late Pregnancy
title_sort prenatal and neonatal pulmonary thrombosis as a potential complication of sars cov 2 infection in late pregnancy
topic pulmonary thrombosis
SARS-CoV-2
neonatal thrombosis
COVID-19 complications
url https://www.mdpi.com/1422-0067/24/8/7629
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