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Large bilateral adrenal haemorrhages in a newborn with unrepaired cyanotic CHD

Published online by Cambridge University Press:  08 April 2016

Lerraughn M. Morgan*
Affiliation:
Department of Pediatrics, Office of Medical Education, Kosair Children’s Hospital, University of Louisville, Louisville, Kentucky, United States of America
Erle H. Austin III
Affiliation:
Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, Kentucky, United States of America
Brian J. Holland
Affiliation:
Division of Pediatric Cardiology, University of Louisville, Louisville, Kentucky, United States of America
*
Correspondence to: L. M. Morgan, DO, Department of Pediatrics, Office of Medical Education, Kosair Children’s Hospital, University of Louisville, 231 East Chestnut Street, K609 (6th floor), Louisville, KY 40202, United States of America. Tel: +502 629 8828; Fax: +502 629 6783; E-mail: lmmorg05@louisville.edu

Abstract

Management of newborns with cyanotic CHD and bilateral adrenal haemorrhages has not previously been described in the literature. These abnormalities present unique challenges due to the potential for haemodynamic instability, need for open heart surgery and associated systemic anticoagulation in the newborn period, and the risk of catastrophic bleeding.

Type
Brief Reports
Copyright
© Cambridge University Press 2016 

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References

1. Hoffman, JI, Kaplan, S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 18901900.CrossRefGoogle ScholarPubMed
2. van der Linde, D, Konings, EE, Slager, M, et al. Birth prevalence of congenital heart disease worldwide. J Am Coll Cardiol 2011; 58: 22412247.CrossRefGoogle ScholarPubMed
3. Silerbach, M, Hannon, D. Presentation of congenital heart disease in the neonate and young infant. Pediatr Rev 2007; 28: 123131.CrossRefGoogle Scholar
4. Stoica, S, Carpenter, E, Campbell, D, et al. Morbidity of the arterial switch operation. Ann Thorac Surg 2012; 93: 19771983.CrossRefGoogle ScholarPubMed
5. Goldstein, JN, Greenberg, SM. Should anticoagulation be resumed after intracerebral hemorrhage? Cleve Clin J Med 2010; 77: 791799.CrossRefGoogle ScholarPubMed
6. Navarro, OM, Daneman, A. Congenital and neonatal conditions: adrenal hemorrhage. In: Coley BD, (ed.) Caffey’s Pediatric Diagnostic Imaging, 12th edn. Saunders, Philadelphia, PA, 2013: 12741279.Google Scholar
7. Velaphi, SC, Perlman, JM. Neonatal adrenal hemorrhage: clinical and abdominal sonographic findings. Clin Pediatr 2001; 40: 545548.CrossRefGoogle ScholarPubMed
8. Oelkers, W. Adrenal insufficiency. N Engl J Med 1996; 335: 12061212.CrossRefGoogle ScholarPubMed
9. Kumar, RK, Newburger, JW, Gauvreau, K, et al. Comparison of outcome when hypoplastic left heart syndrome and transposition of the great arteries are diagnosed prenatally versus when diagnosis of these two conditions is made only postnatally. Am J Cardiol 1999; 83: 16491653.CrossRefGoogle ScholarPubMed
10. Anderson, BR, Ciarleglio, AJ, Hayes, DA, et al. Earlier arterial switch operation improves outcomes and reduce costs for neonates with transposition of the great arteries. J Am Coll Cardiol 2014; 63: 481487.CrossRefGoogle ScholarPubMed