Document Detail


Intrauterine myocardial infarction: unsuspected diagnosis in the delivery room.
MedLine Citation:
PMID:  17162524     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Ana Concheiro-Guisán; Carlos Sousa-Rouco; Inmaculada Fernández-Santamarina; Joaquín González-Carreró
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Fetal and pediatric pathology     Volume:  25     ISSN:  1551-3815     ISO Abbreviation:  Fetal Pediatr Pathol     Publication Date:    2006 Jul-Aug
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-01-16     Revised Date:  2008-10-01    
Medline Journal Info:
Nlm Unique ID:  101230972     Medline TA:  Fetal Pediatr Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  179-84     Citation Subset:  IM    
Affiliation:
Division of Neonatology, Pediatric Cardiology, Department of Pediatrics, Hospital Xeral-Cíes, Complejo Hospitalario Universitario de Vigo, Vigo, Spain. 32559acg@comb.es
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MeSH Terms
Descriptor/Qualifier:
Calcinosis / 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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