SURVIVAL AFTER INTRAUTERINE MYOCARDIAL INFARCTION: NONINVASIVE ASSESSMENT OF MYOCARDIAL PERFUSION WITH ^99mTc-SESTAMIBI SCINTIGRAPHY

 

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ABSTRACT

Survival after severe intrauterine myocardial infarction has not been reported previously. We describe the course of a neonate with a structurally normal heart, who presented with cardiogenic shock at birth due to intrauterine myocardial infarction with a huge ventricular aneurysm. Myocardial perfusion was assessed noninvasively by means of ^99mTc-Sestamibi, a radiopharmaceutical agent recently introduced in nuclear cardiology to avoid repeated coronary angiography. The patient survived with improved cardiac function and normal neurodevelopmental outcome.

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