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Large bilateral adrenal haemorrhages in a newborn with unrepaired cyanotic CHD

Published online by Cambridge University Press:  08 April 2016

Lerraughn M. Morgan*
Affiliation:
Department of Pediatrics, Office of Medical Education, Kosair Children’s Hospital, University of Louisville, Louisville, Kentucky, United States of America
Erle H. Austin III
Affiliation:
Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, Kentucky, United States of America
Brian J. Holland
Affiliation:
Division of Pediatric Cardiology, University of Louisville, Louisville, Kentucky, United States of America
*
Correspondence to: L. M. Morgan, DO, Department of Pediatrics, Office of Medical Education, Kosair Children’s Hospital, University of Louisville, 231 East Chestnut Street, K609 (6th floor), Louisville, KY 40202, United States of America. Tel: +502 629 8828; Fax: +502 629 6783; E-mail: lmmorg05@louisville.edu

Abstract

Management of newborns with cyanotic CHD and bilateral adrenal haemorrhages has not previously been described in the literature. These abnormalities present unique challenges due to the potential for haemodynamic instability, need for open heart surgery and associated systemic anticoagulation in the newborn period, and the risk of catastrophic bleeding.

Type
Brief Reports
Copyright
© Cambridge University Press 2016 

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