Key result
A 4-day-old term baby with neonatal acute myocardial infarction and a left atrial appendage thrombus was managed with hemodynamic stabilization, vasodilatation, and anticoagulation.
Why the study?
Neonatal acute myocardial infarction is an uncommon entity that presents diagnostic and therapeutic challenges.
Case Report (n=1)
Neonatal acute myocardial infarction is a rare and challenging diagnosis that can present with respiratory distress and require complex medical management including anticoagulation.
Highlights potential for non-invasive management in neonatal AMI with thrombus; hypothesis-generating and should not yet change practice.
Neonatal acute myocardial infarction is an uncommon entity. We describe the case of a 4-day-old term baby who presented with respiratory distress and distal acrocyanosis. The chest radiograph demonstrated cardiomegaly without pleural effusion, and examination revealed hepatomegaly. An electrocardiogram revealed QS pattern in leads I, aVL, and V6, suggestive of ischemia. Cardiac enzymes were elevated, and echocardiogram revealed moderate left ventricular dysfunction with a thrombus at the level of the left atrial appendage. The patient required hemodynamic stabilization, vasodilatation to avoid congestive heart failure, and anticoagulation with heparin and aspirin. In the context of this unusual diagnosis, we reviewed our experience over the last 17 years as well as the existing literature on neonatal myocardial infarction.
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Rodríguez-Martínez et al. (2019) conducted a case report in Neonatal acute myocardial infarction (n=1). Hemodynamic stabilization, vasodilatation, and anticoagulation was evaluated. A 4-day-old term baby with neonatal acute myocardial infarction and a left atrial appendage thrombus was managed with hemodynamic stabilization, vasodilatation, and anticoagulation.
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