Kumar Gaurav, Mattke Adrian C, Bowling Frank, McWhinney Avis, Alphonso Nelson, Karl Tom R
Queensland Paediatric Cardiac Service, Mater Children's Hospital, Brisbane, Australia.
World J Pediatr Congenit Heart Surg. 2014 Jan 1;5(1):118-20. doi: 10.1177/2150135113501900.
We report a neonate with medium chain acyl-coenzyme A dehydrogenase deficiency (MCAD) who had a cardiac arrest due to ventricular tachycardia and fibrillation. Extracorporeal life support (ECLS) was deployed, from which the baby was subsequently separated and discharged from hospital. This case was a rare neonatal presentation of MCAD and an uncommon indication for ECLS. We discuss the presentations of patients with MCAD and the use of ECLS for patients with possible inborn errors of metabolism and other unknown primary diagnoses.
我们报告了一名患有中链酰基辅酶A脱氢酶缺乏症（MCAD）的新生儿，该患儿因室性心动过速和颤动而发生心脏骤停。采用了体外生命支持（ECLS），随后患儿脱离该支持并出院。该病例是MCAD罕见的新生儿表现，也是ECLS罕见的适应证。我们讨论了MCAD患者的表现以及ECLS在可能患有先天性代谢缺陷和其他不明原发性诊断患者中的应用。
