Document Detail


Neurogenic stunned myocardium presenting as left ventricular hypertrabeculation in childhood: A variant of Takotsubo cardiomyopathy?
MedLine Citation:
PMID:  21478797     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE:: To report the first case of neurogenic stunned myocardium presenting with heart left ventricle noncompaction requiring intensive care in the perioperative period of tension tumor-induced hydrocephalus. METHODS AND DESIGN:: Case report and literature review. Our Institutional Review Board waived the need for consent. PATIENT:: A 12-yr-old female with intracranial astrocytoma and hypertensive hydrocephalus presented with severe heart dysfunction and life-threatening ventricular ectopies intraoperatively. A severe heart failure developed requiring hemodynamic and ventilatory support for 10 days. Echocardiography showed a transient noncompaction aspect of the left ventricular wall, further confirmed by a cardiac magnetic resonance image. The noncompaction aspect lasted until 15 days postadmission, as was the case for the QT interval prolongation; no life-threatening ectopies were demonstrated on the subsequent Holter electrocardiographic monitoring. CONCLUSIONS:: This report describes a unique presentation of myocardial stunning in association with an intracranial illness, namely, a hypertensive hydrocephalus complicating an intracranial neoplasm.
Authors:
Gabriella De Rosa; Manuela Pardeo; Concezio Di Rocco; Domenico Pietrini; Sonia Mensi; Eleonora Stival; Alessia De Nisco; Laura Marzano; Daniele De Luca; Marco Piastra
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-7
Journal Detail:
Title:  Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies     Volume:  -     ISSN:  1529-7535     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100954653     Medline TA:  Pediatr Crit Care Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From Pediatric Cardiology (GDR, MPa, AND) and Pediatric Neurosurgery (CDR), Department of Pediatrics; and Pediatric Neuroanesthesia (DP, SM) and Pediatric Intensive Care Unit (DP, SM, ES, LM, DDL, MPi), Emergency Department; Catholic University Medical School, "A.Gemelli" Hospital, Rome, Italy.
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