Fluri Simon, Pavlovic Mladen, Wagner Bendicht P
Department of Pediatrics, Pediatric Intensive Care Unit, University Hospital, Bern, Switzerland.
Cardiol Young. 2010 Feb;20(1):108-10. doi: 10.1017/S1047951109991028. Epub 2010 Mar 1.
A patent arterial duct in pre-term neonates is frequent. Systemic complications consecutive to left-to-right shunting are well known but fatal myocardial ischaemia has not been described till now. The presented premature baby died from catecholamine refractory cardiogenic shock. Autoptic examination revealed acute ischaemic changes predominantly in the inner third of myocardium, speaking of coronary hypoperfusion due to a steal phenomenon secondary to the patent arterial duct.
