A carregar...
Publicação
High-output heart failure in a newborn.
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 173.3 KB | Adobe PDF |
Orientador(es)
Resumo(s)
High-output cardiac failure is rare in newborns. Emergent diagnosis and management of this pathology is crucial. We report the case of a child, currently 12-months old; obstetric background is non-contributory. Clinic observation on D1 was normal except for the presence of a systolic cardiac murmur; cardiological evaluation revealed mild ventricular dysfunction of the right ventricle. On the third day of life, she developed cardiac failure with gallop rhythm, hepatomegaly and a murmur in the anterior fontanel; an echocardiogram confirmed clinic aggravation with biventricular dysfunction and right cavities and superior vena cava dilatation. The cranial MRI confirmed the presence of a pial arteriovenous malformation (AVM) involving the anterior and middle cerebral arteries with an associated fronto-parietal ischaemic lesion. The infant underwent embolisations of AVM with successful flow reduction and cardiac failure improvement. The multidisciplinary follow-up showed no cardiac dysfunction or permanent lesions but confirmed a severe psycho-motor delay and left hemiparesia
Descrição
Palavras-chave
Infant Newborn Heart failure Echocardiography
Contexto Educativo
Citação
BMJ Case Rep. 2012 Jul 10;2012. pii: bcr2012006289
Editora
BMJ Publishing Group