Atrial fibrillation in a preterm newborn with structurally normal heart
| Autor: | Andrea Raffaele Marras, Pier Paolo Bassareo, Giuseppe Mercuro, Silvia Marras, Mariangela Marras |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Neonatal intensive care unit medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Microbiology Inferior vena cava 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Internal medicine medicine.artery Medicine cardiovascular diseases Atrium (heart) business.industry Cardiac arrhythmia Atrial fibrillation Umbilical artery equipment and supplies medicine.disease Infectious Diseases medicine.anatomical_structure medicine.vein cardiovascular system Cardiology Patent foramen ovale Parasitology business Central venous catheter |
| Zdroj: | Oxford Medical Case Reports |
| ISSN: | 2053-8855 |
| DOI: | 10.1093/omcr/omx010 |
| Popis: | Atrial fibrillation (AF) is a really uncommon arrhythmia in newborns. Here, we report the case of a 1-day-old infant who was recovered in Neonatal Intensive Care Unit for a twin-to-twin transfusion. The appearance of an unexpected AF was registered at his continuous electrocardiographic monitoring. Both chest X-ray and echocardiographic examination revealed the anomalous insertion of the tip of a central venous catheter (CVC) into the heart (‘umbilical artery → inferior vena cava → right atrium → patent foramen ovale → left atrium’). AF ceased as soon as the CVC was extracted from the heart. The mechanical irritation of both atria caused by the malposition of the CVC might be the underlying mechanism responsible for the triggering of AF in this unique case report. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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