Newborn With Severely Depressed Left Ventricular Function

We describe a rare case of spontaneous coronary artery thrombosis in a newborn leading to rapid severe ventricular dysfunction. Early diagnosis is critical and management strategies are varied including hemodynamic support with extracorporeal membrane oxygenation, systemic/local thrombolytic therapy...

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Bibliographic Details
Published in:JACC. Case reports 2020-10, Vol.2 (12), p.1837-1840
Main Authors: Ahluwalia, Neha, Pass, Robert H., Aydin, Scott I.
Format: Article
Language:English
Subjects:
coronary artery thrombosis
myocardial ischemia
neonate
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Summary:We describe a rare case of spontaneous coronary artery thrombosis in a newborn leading to rapid severe ventricular dysfunction. Early diagnosis is critical and management strategies are varied including hemodynamic support with extracorporeal membrane oxygenation, systemic/local thrombolytic therapy with tissue plasminogen activator, or surgical thrombectomy. (Level of Difficulty: Advanced.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.08.016