Abstract
In transposition of the great arteries, systemic venous return is preferentially routed to the aorta, and any spontaneous or iatrogenic emboli may therefore cause organ infarction. We present a patient with transposition of the great arteries who developed myocardial infarction prior to balloon septostomy and, also, was later documented to have sustained brain infarction despite adequate precautionary measures. Minimal handling of venous sites in these patients is crucial.
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References
Baylen BG, Grzeszczak M, Gleason ME, Cyran SE, Weber HS, Myers J, Waldhausen J (1992) Role of balloon atrial septostomy before early arterial switch repair of transposition of the great arteries. J Am Coll Cardiol 19:1025–1031
Chandar JS, Wolfe SB (1994) Displacement of preexisting thrombus by umbilical vein catheterization. Pediatr Cardiol 15:311–312
McQuillen PS, Hamrick SE, Perez MJ, Barkovich AJ, Glidden DV, Karl TR, Teitel D, Miller SP (2006) Balloon atrial septostomy is associated with preoperative stroke in neonates with transposition of the great arteries. Circulation 113:280–285
Miller SP, McQuillen PS, Vigneron DB, Glidden DV, Barkovich AJ, Ferriero DM, Hamrick SE, Azakie A, Karl TR (2004) Preoperative brain injury in newborns with transposition of the great arteries. Ann Thorac Surg 77:1698–1706
Rashkind WJ, Miller WW (1966) Creation of an atrial septal defect without thoracotomy: a palliative approach to complete transposition of the great arteries. JAMA 196:991–992
Acknowledgments
We thank the Cardiac Lab, Cath Lab, and SCBU, St. Luke’s Hospital, Malta.
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Galea, C., Aquilina, O. & Grech, V. Preseptostomy Myocardial Infarction in a Patient with Complex Transposition of the Great Arteries. Pediatr Cardiol 29, 185–187 (2008). https://doi.org/10.1007/s00246-007-9094-y
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DOI: https://doi.org/10.1007/s00246-007-9094-y