PEDIATRICS Vol. 73 No. 1 January 1984, pp. 100-103
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Myocardial Calcification in a Neonate Following Open Chest Cardiac Compression

GEORGE S. BISSET III MD1, STEPHEN S. HIRSCHFELD MD1, WILLIAM W. FISCHER MD1, and KENNETH D. FARRIS MD1

1 Departments of Pediatrics, Radiology, and Pathology, Tulane University School of Medicine, New Orleans

Massive myocardial calcification remains an unusual roentgenographic finding in the neonate.1-5 The only three previously reported cases of radiographic demonstration of this occurrence were believed to be secondary to myocardial infarction.1-5 Several features of this case report make it unusual, particularly from an etiologic standpoint. CASE REPORT A 13-day-old black male infant born at 40 weeks of gestation was referred for evaluation of respiratory distress. On physical examination, the patient had signs of congestive heart failure, associated with absent femoral pulses. Two-dimensional echocardiography revealed severe coarctation of the thoracic aorta, D-transposed great vessels, and single ventricle and tricuspid atresia. The initial arterial blood gaas tensions revealed: pHH 7.39, Pco2 20 torr, and Po2 91 torr.

Submitted on December 13, 1982
Accepted on May 20, 1983