Neonatal Myocardial Infarction: Case Report and Review of the Literature

Kanwal M. Farooqi, Nicole Sutton, Samuel Weinstein, Mark Menegus, Hugo Spindola-Franco, Robert H. Pass

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Myocardial infarction in a neonate is rare. We describe the case of a full-term male who presented with respiratory distress. A chest radiograph demonstrated cardiomegaly. An electrocardiogram revealed ST segment changes suggestive of ischemia. Cardiac enzymes were elevated and an echocardiogram revealed a regional wall motion abnormality. Cardiac catheterization was performed demonstrating occlusion of the ramus intermedius branch of the left main coronary artery. The patient decompensated, requiring extracorporeal membrane oxygenation (ECMO). The infant was able to be decannulated from ECMO support in 5 days and was ultimately discharged on hospital day 25. We review this case as well as the literature on neonatal myocardial infarction.

Original languageEnglish (US)
Pages (from-to)E97-E102
JournalCongenital Heart Disease
Volume7
Issue number6
DOIs
StatePublished - Nov 1 2012

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Keywords

  • ALCAPA
  • ECMO
  • Neonatal coronary artery occlusion
  • Neonatal ischemia
  • Neonatal myocardial infarction
  • Ramus intermedius

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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