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Patent arterial duct, bottle-meal, and fatal myocardial ischaemia*

Published online by Cambridge University Press:  01 March 2010

Simon Fluri ,
Mladen Pavlovic  and
Bendicht P. Wagner
Simon Fluri*
Affiliation:
Department of Pediatrics, Pediatric Intensive Care Unit, University Hospital, Bern, Switzerland
Mladen Pavlovic
Affiliation:
Pediatric Cardiology, Inselspital, Bern, Switzerland
Bendicht P. Wagner
Affiliation:
Department of Pediatrics, Pediatric Intensive Care Unit, University Hospital, Bern, Switzerland
*
Correspondence to: Dr Simon Fluri, MD, Department of Pediatrics, Pediatric Intensive Care Unit, Inselspital, CH-3010 Bern. Tel: +41 316 322 111; Fax: +41 316 320 784; E-mail: simon.fluri@insel.ch
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Abstract

A patent arterial duct in pre-term neonates is frequent. Systemic complications consecutive to left-to-right shunting are well known but fatal myocardial ischaemia has not been described till now. The presented premature baby died from catecholamine refractory cardiogenic shock. Autoptic examination revealed acute ischaemic changes predominantly in the inner third of myocardium, speaking of coronary hypoperfusion due to a steal phenomenon secondary to the patent arterial duct.

Keywords

Premature newbornsteal phenomenonmyocardial infarctionoral-feeding routeprevention
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 1 , February 2010 , pp. 108 - 110
Copyright
Copyright © Cambridge University Press 2010

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Footnotes

*

This case report obtained the approval for publication from the Institutional Review Board.

References

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