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Patent arterial duct, bottle-meal, and fatal myocardial ischaemia *
Simon Fluri, Mladen Pavlovic, Bendicht P. Wagner
Journal:

Cardiology in the Young / Volume 20 / Issue 1 / February 2010

Published online by Cambridge University Press:

01 March 2010, pp. 108-110
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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.

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

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