title: Large bilateral adrenal haemorrhages in a newborn with unrepaired cyanotic CHD.
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.
authors.affiliation: 1Department of Pediatrics,Office of Medical Education,Kosair Children's Hospital,University of Louisville,Louisville,Kentucky,United States of America.
authors.forename: Lerraughn M
authors.identifier: http://orcid.org/0000-0001-7144-9110
authors.initials: LM
authors.lastname: Morgan
authors.affiliation: 2Department of Cardiovascular and Thoracic Surgery,University of Louisville,Louisville,Kentucky,United States of America.
authors.forename: Erle H
authors.initials: EH
authors.lastname: Austin
authors.affiliation: 3Division of Pediatric Cardiology,University of Louisville,Louisville,Kentucky,United States of America.
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Holland
mesh_terms: D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003490:Cyanosis / Q000209:etiology; D004452:Echocardiography; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000628:therapy*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use*; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male
chemical_list: D006854:Hydrocortisone
keywords: CHD; Transposition of the great arteries; adrenal haemorrhage; anticoagulation