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Ventricular septal defect and sudden death in early childhood.

Authors
  • Byard, R W1
  • 1 Department of Histopathology, Adelaide Children's Hospital Division, Women's and Children's Hospital, Australia.
Type
Published Article
Journal
Journal of paediatrics and child health
Publication Date
October 1994
Volume
30
Issue
5
Pages
439–440
Identifiers
PMID: 7833083
Source
Medline
License
Unknown

Abstract

A 2 1/2 year old boy collapsed at home and was taken immediately to the local hospital in cardiorespiratory arrest where attempted resuscitation was unsuccessful. At autopsy, massive cardiomegaly was found associated with a large membranous ventricular septal defect. There was also an early acute bronchopneumonia. Although growth parameters indicated failure to thrive, no specific health problems had been noted by the family apart from an apparent mild 'upper respiratory infection' prior to death. While the occurrence of sudden and unexpected death in cases of undiagnosed isolated ventricular septal defect has not been emphasized in the literature, this case demonstrates that sudden death may be a problem in early childhood. This is particularly so in cases of untreated large defects with cardiomegaly when additional stresses such as acute infection occur.

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