| Neurogenic stunned myocardium presenting as left ventricular hypertrabeculation in childhood: A variant of Takotsubo cardiomyopathy? | |
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MedLine Citation:
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PMID: 21478797 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: JOURNAL ARTICLE Date: 2011-4-7 |
Journal Detail:
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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:
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Created Date: 2011-4-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100954653 Medline TA: Pediatr Crit Care Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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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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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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