Focused Cardiac Ultrasound Diagnosis of Cor Triatriatum Sinistrum in Pediatric Cardiac Arrest.

Thompson Kehrl,Brent Becker,Callie Dagen

doi:10.5811/westjem.2015.6.26093

Thompson Kehrl, Brent Becker + Show 1 more

Open Access

https://doi.org/10.5811/westjem.2015.6.26093

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Abstract

Cardiac arrest in the adolescent population secondary to congenital heart disease (CHD) is rare. Focused cardiac ultrasound (FoCUS) in the emergency department (ED) can yield important clinical information, aid in resuscitative efforts during cardiac arrest and is commonly integrated into the evaluation of patients with pulseless electrical activity (PEA). We report a case of pediatric cardiac arrest in which FoCUS was used to diagnose a critical CHD known as cor triatriatum sinistrum as the likely cause for PEA cardiac arrest and help direct ED resuscitation.

Highlights

Congenital heart disease (CHD) is estimated to affect between four and thirteen of every 1,000 live births.[1,2,3] Despite this relatively low incidence, CHD constitutes one of the leading causes of perinatal and infant death.[4]
We report a case of pediatric cardiac arrest in which Focused cardiac ultrasound (FoCUS) was used to diagnose a critical CHD known as cor triatriatum sinistrum as the likely cause for pulseless electrical activity (PEA) cardiac arrest and help direct emergency department (ED) resuscitation. [West J Emerg Med. 2015;16(5):753-755.]
We present a case of an adolescent out-ofhospital cardiac arrest due to a very rare form of CHD, known as cor triatriatrum sinistrum (CTS), in which FoCUS was instrumental in the diagnosis and management of the patient

Summary

Case Report

Focused Cardiac Ultrasound Diagnosis of Cor Triatriatum Sinistrum in Pediatric Cardiac Arrest. Cardiac arrest in the adolescent population secondary to congenital heart disease (CHD) is rare. Focused cardiac ultrasound (FoCUS) in the emergency department (ED) can yield important clinical information, aid in resuscitative efforts during cardiac arrest and is commonly integrated into the evaluation of patients with pulseless electrical activity (PEA). We report a case of pediatric cardiac arrest in which FoCUS was used to diagnose a critical CHD known as cor triatriatum sinistrum as the likely cause for PEA cardiac arrest and help direct ED resuscitation. We report a case of pediatric cardiac arrest in which FoCUS was used to diagnose a critical CHD known as cor triatriatum sinistrum as the likely cause for PEA cardiac arrest and help direct ED resuscitation. [West J Emerg Med. 2015;16(5):753-755.]

INTRODUCTION

Cardiac Ultrasound Diagnosis

Findings

DISCUSSION