ISCHEMIC CARDIOGENIC SHOCK IN THE INFANT BY ANOMALOUS ORIGIN OF THE LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY.

Autor: Rugină, Aniela, Cărăuleanu, A., Pintilie, R., Ciongradi, Iulia, Sârbu, I., Rugină, V. G.
Předmět:
Zdroj: Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology / Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie; 2017, Vol. 16 Issue 2, p158-162, 5p
Abstrakt: Anomalous origin of the left coronary artery (LCA) in the pulmonary artery (PA) is a commonly asymptomatic malformation at birth until the early postpartum PA when pressure drops to a critical level, causing congestive heart failure or myocardial infarction with cardiogenic ischemic shock. The authors present the case of an infant aged one month, which is admitted for clinical signs of congestive heart failure associating hypotension and prolonged recolorating time with dilated cardiomyopathy diagnosed by bidimensional transthoracic echocardiography and myocardial infarction in the electrocardiogram. Under treatment the evolution was unfavorable and the macroscopic anatomopathologic examination confirmed the abnormal origin of LCA from PA, dilated cardiomyopathy, subendocardial necrosis and secondary fibroelastosis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index