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Erythrocytosis and severe asphyxia: two different causes of neonatal myocardial infarction

Published online by Cambridge University Press:  07 February 2013

Elio Caruso ,
Alfredo Di Pino ,
Daniela Poli ,
Lucia Manuri  and
Paolo Guccione
Elio Caruso*
Affiliation:
Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy
Alfredo Di Pino
Affiliation:
Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy
Daniela Poli
Affiliation:
Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy
Lucia Manuri
Affiliation:
Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy
Paolo Guccione
Affiliation:
Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Taormina (ME), Italy
*
Correspondence to: Dr E. Caruso, MD, Centro Cardiologico Pediatrico del Mediterraneo, San Vincenzo Hospital, Contrada Sirina, 98039 Taormina (ME), Italy. Tel: +390942579558; Fax: +390942579573; E-mail: carusoelio@gmail.com
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Abstract

Neonatal acute myocardial infarction is a rare event that carries a high mortality rate. We describe the cases of two newborns who survived acute myocardial infarction and discuss the management. The first neonate was born with severe asphyxia and left ventricular myocardial infarction with ventricular tachycardia. In this patient, systemic flow was maintained by right-to-left shunting through the patent ductus arteriosus. The second neonate presented with a haematocrit of 80% and an inferolateral myocardial infarction. Intensive treatment of low cardiac output syndrome led to survival of both high-risk neonates. In the follow-up, at 48 and 4 months, respectively, ventricular function recovered in both patients.

Keywords

Myocardial ischaemiaventricular tachycardiaduct assistanceventricular hypertrophypolycythaemia
Type
Brief Reports
Information
Cardiology in the Young , Volume 24 , Issue 1 , February 2014 , pp. 178 - 181
Copyright
Copyright © Cambridge University Press 2013 

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