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Myocardial Infarction in a newborn from a diabetic mother

Published online by Cambridge University Press:  02 June 2010

Julie Abbal ,
Soizic Paranon ,
Gilles Brierre ,
Yves Dulac ,
Charlotte Casper  and
Philippe Acar
Julie Abbal
Affiliation:
Pediatric Cardiology, Children Hospital Toulouse, France
Soizic Paranon
Affiliation:
Pediatric Cardiology, Children Hospital Toulouse, France
Gilles Brierre
Affiliation:
Pediatric Cardiology, Children Hospital Toulouse, France
Yves Dulac
Affiliation:
Pediatric Cardiology, Children Hospital Toulouse, France
Charlotte Casper
Affiliation:
Neonatology, Children Hospital Toulouse, France
Philippe Acar*
Affiliation:
Pediatric Cardiology, Children Hospital Toulouse, France
*
Correspondence to: Pr Ph Acar, Pediatric Cardiology, Children’s Hospital, 330 Avenue de Grande Bretagne, 31026 Toulouse Cedex 3, France. Tel: 33 5 34 55 87 34; Fax: 33 5 34 86 63; E-mail: [email protected]
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Abstract

We extracted L., the newborn of a diabetic mother, for antenatal diagnostic of myocardial hypertrophy and anomaly of foetal heart rate. Post-natal echocardiography showed severe septal myocardial hypertrophy with latero-basal myocardial akinesia. We did not observe a Doppler gradient through the left ventricular outflow. Selective coronary angiography showed an occlusion of the circumflex artery. Myocardial hypertrophy is a classic complication in newborns of diabetic mothers. The mother’s diabetes and neonatal infarction remain an exceptional association. We discuss a different hypothesis to explain coronary occlusion and how myocardial infarction avoided septal obstruction.

Keywords

Myocardial hypertrophymyocardial ischaemiamaternal diabetescoronary occlusion
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 4 , August 2010 , pp. 451 - 454
Copyright
Copyright © Cambridge University Press 2010

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