Right ventricular thrombus in a child with aluminum phosphide poisoning: A case report and review of the literature

Sheibani, Mehdi; Farnaghi, Fariba; Molaei Tavana, Parastoo; Gholami, Nargea; Hassanian-Moghaddam, Hossein

doi:10.58209/ijbc.15.1.17

Volume 15, Issue 1 ( March 2023 2023) Iranian Journal of Blood and Cancer 2023, 15(1): 17-21 | Back to browse issues page

‎ 10.58209/ijbc.15.1.17

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Sheibani M, Farnaghi F, Molaei Tavana P, Gholami N, Hassanian-Moghaddam H. Right ventricular thrombus in a child with aluminum phosphide poisoning: A case report and review of the literature. Iranian Journal of Blood and Cancer 2023; 15 (1) :17-21
URL: http://ijbc.ir/article-1-1371-en.html

Right ventricular thrombus in a child with aluminum phosphide poisoning: A case report and review of the literature

Mehdi Sheibani¹

, Fariba Farnaghi²

, Parastoo Molaei Tavana ^*

³, Nargea Gholami²

, Hossein Hassanian-Moghaddam⁴

1- Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Pediatrics, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Pediatrics, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran , dr_p1984@yahoo.com
4- Department of Clinical Toxicology, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract: (738 Views)

Background: Aluminum phosphide (ALP) is a highly toxic inorganic compound used as a rodenticide, insecticide, and fumigant for stored cereal grains. Sometimes it uses for suicidal or criminal purposes, due to the low cost and availability of this tablet.Cardiovascular involvement is common and is the leading cause of death in these patients, but intra-cardiac thrombosis is rare and more common in the left ventricle following left ventricular dysfunction. The aim of our work was to describe an atypical manifestation of cardiovascular involvement of ALP poisoning.
Case presentation: We report a case of an ALP-poisoned child, with the uncommon complications of mobile right ventricular thrombus who has been treated successfully with systemic thrombolysis. An eleven year- old boy who referred to us with unstable hemodynamic status after suicidal ingestion of 3 grams ALP tablet. To the best of our knowledge, he is the first case of right ventricular thrombosis in the setting of ALP poisoning in the English literature.
Conclusion: In this ALP-poisoned child case, systemic thrombolysis along with conservative management could save the child from a non-reported complication of ALP.

Keywords: Aluminum phosphide, Right ventricular thrombosis, Systemic thrombolysis

Full-Text [PDF 625 kb] (533 Downloads)

Subject: Pediatric Hematology & Oncology
Received: 2023/01/21 | Accepted: 2023/03/24 | Published: 2023/03/30

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