Cardiac recovery and survival after neonatal myocardial infarction.

Management of cardiogenic shock following neonatal myocardial infarction (MI) has received little attention in the literature. Advances in medical support have been pharmacologic in nature, yet the outcome remains dismal. We report the course of a neonate after MI. Extracorporeal membrane oxygenation was utilized for hemodynamic support during the immediate post-MI period. The patient initially was in massive cardiogenic shock, but her myocardial function recovered completely. She has a normal neurodevelopmental outcome at 22 months of age.