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MOHAMMAD MEHRAN-POUR, MD; STEPHEN HIRSCHFELD, MD; MARY FRANCIOLI, MD; JEROME LIEBMAN, MD

Am J Dis Child. 1978;132(12):1217-1218.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Myocardial infarction (MI) is relatively infrequent in infants and children, although its association with anomalous origin of the left coronary artery and other congenital cardiac anomalies that result in coronary hypoperfusion is well known.¹

Although MI has also been reported in some congenital heart defects without coronary artery abnormalities,^2-4 massive MI of the left ventricle in tetralogy of Fallot (TOF) has not, to our knowledge, been reported.

Report of a Case.—An 8-month-old girl had been followed up elsewhere with the clinical diagnosis of TOF. Although moderately cyanotic, she had no history of hypoxic spells. On the morning of admission, she had an hypoxic spell. Because of poor response to conventional therapy, ie, knee-chest position, sodium bicarbonate, and morphine, she was transferred to our institution. On arrival, she was cool and blue-gray; heart rate was 150 beats per minute; respirations, 80/min; and blood pressure, 60/40 mm Hg. There . . . [Full Text PDF of this Article]

Author Affiliations
Queen Pahlavi Foundation Cardiovascular Center Shemiran, Pahlavi Road PO Box 33-423 Tehran, Iran; University Hospitals Cleveland, OH 44106

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