Case report: Restrictive cardiomyopathy presenting with complete thromboembolism occlusion of the terminal part of the abdominal aorta in a preadolescent Saudi girl

  • Ahmad A. Al-Shammari*
  • , Rawan Al Muslim
  • , Jenan Almuslim
  • , Ehab Elashaal
  • , Haitham Lardhi
  • , Saleh A. AlQahtani
  • , Bassam N. AlBassam
  • , Amer Lardhi
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Restrictive cardiomyopathy (RCM) is a rare disease in children, accounting for <5% of all pediatric cardiomyopathies. It may be idiopathic or may be a secondary to a systemic disease. The disease is characterized by normal systolic function with impaired ventricular filling caused by stiff ventricular walls. Children with RCM often present with symptoms of exercise intolerance, shortness of breath, weakness, and chest discomfort. Thromboembolism events are an unusual presentation of RCM. We are reporting a preadolescent female from the eastern province of Saudi Arabia who presented with sudden right lower limb swelling, paresthesia, and pain caused by a complete occlusion of the terminal part of the abdominal aorta and both common iliac arteries. Echocardiography revealed dilated atria, normal ventricle dimensions and two floating thrombi in the left atrium. The patient was successfully managed with an anticoagulant, surgical thrombectomy and cardiac transplantation.

Original languageEnglish
Article number944627
JournalFrontiers in Pediatrics
Volume10
DOIs
StatePublished - 19 Jul 2022

Keywords

  • abdominal aorta
  • cardiac transplant
  • pediatrics
  • restrictive cardiomyopathy (RCM)
  • Saudi Arabia
  • thromboembolism

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