Newborn With Severely Depressed Left Ventricular Function: Acute Myocardial Infarction in a Newborn

Neha Ahluwalia; Robert H Pass; Scott I Aydin

doi:10.1016/j.jaccas.2020.08.016

Newborn With Severely Depressed Left Ventricular Function: Acute Myocardial Infarction in a Newborn

JACC Case Rep. 2020 Oct 21;2(12):1837-1840. doi: 10.1016/j.jaccas.2020.08.016. eCollection 2020 Oct.

Authors

Neha Ahluwalia¹, Robert H Pass¹, Scott I Aydin¹

Affiliation

¹ Division of Pediatric Cardiology and Pediatric Critical Care Medicine, Department of Pediatrics, Icahn School of Medicine at Mount Sinai and Kravis Children's Hospital at Mount Sinai, Mount Sinai Medical Center, New York, New York.

Abstract

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.).

Keywords: ECMO, extracorporeal membrane oxygenation; LV, left ventricular; coronary artery thrombosis; myocardial ischemia; neonate.

Publication types

Case Reports