Advertisement

Fatal myocardial ischemia in a 12-year old secondary to fibromuscular dysplasia

Published:December 19, 2013DOI:https://doi.org/10.1016/j.ajem.2013.12.027
      Cardiac causes of chest pain in children are rare; however, they continue to account for 1% to 6% of all cases dependent on the practice setting and patient history. Here we describe the case of a 12-year old with fibromuscular dysplasia that died from an acute myocardial infarction. Although this specific etiology is uncommon, the case illustrates the need for broad differentials when treating children with chest pain in the emergency medicine environment. In particular, even if the specific diagnosis cannot be readily made in the prehospital or emergency department (ED) setting, the possibility of cardiac disease should be considered.
      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Mahle W.T.
        • Campbell R.M.
        • Favaloro-Sabatier J.
        Myocardial infarction in adolescents.
        J Pediatr. 2007; 151: 150-154
        • Blondin D.
        • Lanzman R.
        • Schellhammer F.
        • et al.
        Fibromuscular dysplasia in living renal donors: Still a challenge to computed tomographic angiography.
        Eur J Radiol. 2010; 75: 67-71
        • Stanley J.C.
        • Gewertz B.L.
        • Bove E.L.
        • et al.
        Arterial fibrodysplasia. histopathologic character and current etiologic concepts.
        Arch Surg. 1975; 110: 561-566
        • Drossner D.M.
        • Hirsh D.A.
        • Sturm J.J.
        • et al.
        Cardiac disease in pediatric patients presenting to a pediatric ED with chest pain.
        Am J Emerg Med. 2011; 29: 632-638
        • Saleeb S.F.
        • Li W.Y.
        • Warren S.Z.
        • et al.
        Effectiveness of screening for life-threatening chest pain in children.
        Pediatrics. 2011; 128: e1062-e1068
        • Hanson C.L.
        • Hokanson J.S.
        Etiology of chest pain in children and adolescents referred to cardiology clinic.
        WMJ. 2011; 110: 58-62
        • Mencl F.
        • Wilber S.
        • Frey J.
        • et al.
        Paramedic ability to recognize ST-segment elevation myocardial infarction on prehospital electrocardiograms.
        Prehosp Emerg Care. 2013; 17: 203-210
        • Cheskes S.
        • Turner L.
        • Foggett R.
        • et al.
        Paramedic contact to balloon in less than 90 minutes: a successful strategy for ST-segment elevation myocardial infarction bypass to primary percutaneous coronary intervention in a Canadian emergency medical system.
        Prehosp Emerg Care. 2011; 15: 490-498