| Intrauterine myocardial infarction: unsuspected diagnosis in the delivery room. | |
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MedLine Citation:
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PMID: 17162524 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a case study of intrauterine myocardial infarction. A female neonate suffered from cardiopulmonary arrest at birth. She presented with refractory cardiogenic shock and died. Echocardiogram showed absence of movement of the posterolateral wall of the left chamber. Autopsy showed severe and extensive myocardial necrosis confined by a band of dystrophic calcification that suggested intrauterine origin. The circumflex artery and anterior descending coronary artery both presented with very narrow calibers. Sympathicomimetics administered to the mother also could have played a role in the development of infarction. Myocardial infarction should be suspected if signs of ischemia are present and there is no clear hypoxic-ischemic insult around delivery. Prognosis is poor especially if the main stem of the left coronary is involved. Cardiac transplantation can be considered. |
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Authors:
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Ana Concheiro-Guisán; Carlos Sousa-Rouco; Inmaculada Fernández-Santamarina; Joaquín González-Carreró |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Fetal and pediatric pathology Volume: 25 ISSN: 1551-3815 ISO Abbreviation: Fetal Pediatr Pathol Publication Date: 2006 Jul-Aug |
Date Detail:
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Created Date: 2006-12-12 Completed Date: 2007-01-16 Revised Date: 2008-10-01 |
Medline Journal Info:
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Nlm Unique ID: 101230972 Medline TA: Fetal Pediatr Pathol Country: United States |
Other Details:
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Languages: eng Pagination: 179-84 Citation Subset: IM |
Affiliation:
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Division of Neonatology, Pediatric Cardiology, Department of Pediatrics, Hospital Xeral-Cíes, Complejo Hospitalario Universitario de Vigo, Vigo, Spain. 32559acg@comb.es |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Calcinosis
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pathology Delivery Rooms Fatal Outcome Female Fetal Diseases / diagnosis* Heart Arrest / pathology* Humans Infant, Newborn Myocardial Infarction / diagnosis* Myocardium / pathology Necrosis Pregnancy Prenatal Diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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