Neonatal myocardial infarction secondary to umbilical venous catheterization: A case report and review of the literature.
Neonatal acute myocardial infarction (MI) is a rare event, with a high mortality rate. Early recognition and intensive care management can be successful, and it requires a high index of suspicion in cases of unknown cardiogenic shock. The lack of access to cardiac catheterization should not delay management. Furthermore, there is great potential for myocardial regeneration to occur in surviving neonates with MI, emphasizing the importance of early recognition and management. The present report describes a neonate with an anatomically normal heart and coronary arteries who developed clinical, laboratory and electrocardiographic features of MI, and was managed successfully with fluid resuscitation, inotropic drugs and vasodilators.
Poonai
Naveen
N
Department of Paediatrics, Paediatric Critical Care Unit, Children's Hospital of Western Ontario, University of Western Ontario, London, Ontario;
Kornecki
Alik
A
Buffo
Ilan
I
Pepelassis
Dionysios
D