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Wheezing as a sign of cor triatriatum sinister culminating in multiple organ failure
Author(s) -
Lee MengLuen,
Chen YingCheng,
Lee MingSheng,
Chien JienWen
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12445
Subject(s) - medicine , cor triatriatum , sign (mathematics) , cardiology , exertional dyspnea , left atrium , atrial fibrillation , mathematical analysis , mathematics
Cardiac asthma or cardiac wheezing ( CW ) refers to a syndrome of dyspnea and wheezing that mimicks asthma clinically. Reported herein is the case of a 2‐month‐old boy who presented with refractory wheezing as a sign of cor triatriatum sinister ( CTS ) that culminated in overwhelming multiple organ failure in a short time. On the day of admission, oxygen saturation ( SpO 2 ) was <80%. Heart rate was 198 beats/min and respiratory rate 58 breaths/min. Chest radiogram showed pulmonary edema. Electrocardiogram showed right atrial enlargement and right ventricular hypertrophy. N ‐terminal pro‐brain natriuretic peptide ( NTproBNP ) was very high at >20 000 pg/mL. Two‐dimensional echocardiography with D oppler showed CTS , which was complicated with severe pulmonary arterial hypertension due to flagrant pulmonary venous obstruction. Cardiac surgery was undertaken, after which pulmonary edema subsided, SpO 2 increased to ≥96%, and NTproBNP dropped to normal. He was discharged 11 days later, and was free of cardiac, pulmonary, renal, and neurological sequelae at 24 month follow up.