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Am J Perinatol 2000; 17(6): 309-314
DOI: 10.1055/s-2000-13434
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

SURVIVAL AFTER INTRAUTERINE MYOCARDIAL INFARCTION: NONINVASIVE ASSESSMENT OF MYOCARDIAL PERFUSION WITH 99mTc-SESTAMIBI SCINTIGRAPHY

R. Birnbacher1 , U. Salzer-Muhar2 , A. Kurtaran3 , M. Marx2 , S. Kuhle1 , A. Pollak1
  • 1Department of Neonatology and Intensive Care, University Children's Hospital, Vienna
  • 2Department of Cardiology, University Children's Hospital, Vienna
  • 3Department of Nuclear Medicine, University of Vienna, Austria
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

Survival after severe intrauterine myocardial infarction has not been reported previously. We describe the course of a neonate with a structurally normal heart, who presented with cardiogenic shock at birth due to intrauterine myocardial infarction with a huge ventricular aneurysm. Myocardial perfusion was assessed noninvasively by means of 99mTc-Sestamibi, a radiopharmaceutical agent recently introduced in nuclear cardiology to avoid repeated coronary angiography. The patient survived with improved cardiac function and normal neurodevelopmental outcome.

KEYWORD

Myocardial infarction - neonate - intrauterine - 99mTc-Sestamibi - scintigraphy

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