Detalhes bibliográficos
| Resumo: | 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 |
|---|
| Autores principais: | Mascarenhas, MI |
|---|
| Outros Autores: | Moniz, M; Ferreira, S; Goulão, A; Barroso, R |
|---|
| Assunto: | Infant Newborn Heart failure Echocardiography |
|---|
| Ano: | 2012 |
|---|
| País: | Portugal |
|---|
| Tipo de documento: | artigo |
|---|
| Tipo de acesso: | acesso aberto |
|---|
| Instituição associada: | Hospital Prof. Dr. Fernando Fonseca E.P.E. |
|---|
| Idioma: | inglês |
|---|
| Origem: | Repositório do Hospital Prof. Doutor Fernando Fonseca |
|---|