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Case Reports
. 2024 Dec 26;9(2):60-64.
doi: 10.1016/j.case.2024.10.003. eCollection 2025 Feb.

Lethal Myocardial Infarction in a Neonate During Extracorporeal Membrane Oxygenation

Numra A Aleem  1 , John Dagle  1 , Patrick J McNamara  1
Affiliations
Case Reports

Lethal Myocardial Infarction in a Neonate During Extracorporeal Membrane Oxygenation

Numra A Aleem et al. CASE (Phila). .
No abstract available

Keywords: Coronary artery thrombus; Extracorporeal membrane oxygenation; Myocardial infarction; Targeted neonatal echocardiography.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Chest radiograph, anterior-posterior projection, demonstrates the VA-ECMO cannula positions (red circles) with the arterial cannula tip terminated at T6, which was deeper than its location at insertion.
Figure 2
Figure 2
Two-dimensional transthoracic echocardiography, parasternal long-axis view, demonstrates a clot extending from the proximal ascending aorta into the LV cavity.
Figure 3
Figure 3
Two-dimensional transthoracic echocardiography, parasternal long-axis view, demonstrates the arterial cannula extending deep into the proximal ascending aorta.
Figure 4
Figure 4
Two-dimensional transthoracic echocardiography with color-flow Doppler (reduced Nyquist limit), parasternal short-axis view, demonstrates no evidence of flow in the LMCA.
Figure 5
Figure 5
Two-dimensional transthoracic echocardiography, apical 5-chamber view in systole (left) and diastole (right), demonstrates that the aortic valve (red circle) was not opening at any point during the cardiac cycle.
Figure 6
Figure 6
Electrocardiographic rhythm strip recording (precordial lead V2) during clinical deterioration demonstrates marked ST-segment elevation.
See this image and copyright information in PMC

References

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    1. Dalton H.J., Reeder R., Garcia-Filion P., Holubkov R., Berg R.A., Zuppa A., et al. Factors associated with bleeding and thrombosis in children receiving extracorporeal membrane oxygenation. Am J Respir Crit Care Med. 2017;196:762–771. - PMC - PubMed
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