Death From Cardiac Failure in a Child With Ruptured Cerebral Arteriovenous Malformation
| Autor: | Richard Mink, Kevin S. Haug, Barry G. Baylen |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Intracranial Arteriovenous Malformations
Male Cardiac function curve medicine.medical_specialty Subarachnoid hemorrhage Adolescent Traumatic brain injury Dopamine medicine.medical_treatment Infarction Pulmonary Artery Ventriculostomy Fatal Outcome Seizures Internal medicine Intensive care Humans Medicine Mannitol cardiovascular diseases Decerebrate State Heart Failure Myocardial Stunning Rupture Spontaneous biology business.industry Troponin I Headache Pulmonary artery catheter General Medicine Staphylococcal Infections Subarachnoid Hemorrhage medicine.disease Combined Modality Therapy Troponin Heart Arrest Anesthesia Heart failure Pediatrics Perinatology and Child Health cardiovascular system Emergency Medicine Cardiology biology.protein Fluid Therapy business |
| Zdroj: | Pediatric Emergency Care. 25:342-344 |
| ISSN: | 0749-5161 |
| DOI: | 10.1097/pec.0b013e3181a348ea |
| Popis: | We present the case of a 13-year-old boy with a ruptured cerebral arteriovenous malformation who had rapidly progressive cardiac failure leading to death. Serial electrocardiograms, cardiac enzymes, echocardiograms, and pulmonary artery catheter data confirmed severe ventricular dysfunction related to myocardial ischemia and infarction. Cardiac dysfunction after cerebral insult is commonly described in adults with aneurysmal subarachnoid hemorrhage and has been termed "neurogenic stunned myocardium" because of its transient nature in most of patients. In children, cardiovascular dysfunction has been described in a few reports and only after traumatic brain injury. No deaths have been reported. This case report illustrates the potentially lethal consequences of cardiovascular dysfunction in children after ruptured cerebral arteriovenous malformation with subarachnoid hemorrhage. Compromised cardiac function should be considered during the early evaluation and management of these patients and supportive care instituted to limit secondary brain injury from poor perfusion. |
| Databáze: | OpenAIRE |
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