Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to register

Sign In to gain access to subscriptions and/or personal tools.
Clinical Pediatrics
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Lane, K. L.
Right arrow Articles by Schall, S. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lane, K. L.
Right arrow Articles by Schall, S. A.
Right arrowPubmed/NCBI databases
Medline Plus Health Information
*Cardiomyopathy
*Heart Attack
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Endocardial Fibroelastosis With Coronary Artery Thromboembolus and Myocardial Infarction

Kathryn L. Lane, MD

From the Department of Pathology, Duke University Medical Center, Durham, North Carolina

Arlene J. Herzberg, MD

From the Department of Pathology, Duke University Medical Center, Durham, North Carolina

Keith A. Reimer, MD, PhD

From the Department of Pathology, Duke University Medical Center, Durham, North Carolina

William D. Bradford, M.D.

From the Department of Pathology, Duke University Medical Center, Durham, North Carolina

Stewart A. Schall, MD

Division of Pediatric Cardiology, The University of North Carolina - Chapel Hill, The Moses H. Cone Memorial Hospital, Greensboro, North Carolina

We report a case of an 18-month-old male, born to a woman with third trimester febrile illness, who had a history of congestive heart failure and respiratory distress, cardiomegaly, and electrocardiographic (ECG) findings suggestive of cardiomyopathy and myocarditis. After gradual improvement in heart size and function with pharmacologic therapy, he developed a terminal episode of respiratory distress and cardiogenic shock, with ECG findings of an anterolateral infarct. At autopsy it was found that endocardial fibroelastosis with mural thrombi in the left ventricle had been complicated by thromboembolism to the left anterior descending coronary artery, resulting in transmural infarction of the anteroseptal region of the left ventricle. Myocardial infarction is a potential but unusual thromboembolic complication of endocardial fibroelastosis. A high index of suspicion for coronary artery thromboemboli should be maintained in pediatric patients with cardiomyopathy and suspected myocardial infarction.

Clinical Pediatrics, Vol. 30, No. 10, 593-598 (1991)
DOI: 10.1177/000992289103001004
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?