Atrial fibrillation with neonatal pulmonary lymphangiectasia
A female infant born at 28 weeks' gestation was found to have mild hydrops foetalis. Initial echocardiography showed a structurally normal heart. During the first week of life, episodic atrial tachycardia with 1:1 or 2:1 conduction was seen, requiring therapy with digoxin. The infant remained v...
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| Veröffentlicht in: | Acta Paediatrica 1998-12, Vol.87 (12), p.1304-1306 |
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| container_title | Acta Paediatrica |
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| creator | Estlin, EJ Bennett, MK Skinner, JR Milligan, DWA Wren, C |
| description | A female infant born at 28 weeks' gestation was found to have mild hydrops foetalis. Initial echocardiography showed a structurally normal heart. During the first week of life, episodic atrial tachycardia with 1:1 or 2:1 conduction was seen, requiring therapy with digoxin. The infant remained ventilator dependent, with a persistent, chylous pleural effusion which contained a preponderance of lymphocytes. Congenital pulmonary lymphangiectasia (CPL) was confirmed histologically. Worsening episodes of atrial tachycardia, including episodes of atrial fibrillation, were further investigated and a repeat echocardiogram revealed thickening of the entire right atrial wall. The cardiac findings of a thickened right atrial wall with the histological signs of myocarditis were thought to be the cause of paroxysms of atrial fibrillation, an extremely rare arrhythmia in the neonatal period. To the authors' knowledge there have been no previous reports of CPL in association with the cardiac abnormalities described herein. |
| doi_str_mv | 10.1111/j.1651-2227.1998.tb00957.x |
| format | Article |
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Initial echocardiography showed a structurally normal heart. During the first week of life, episodic atrial tachycardia with 1:1 or 2:1 conduction was seen, requiring therapy with digoxin. The infant remained ventilator dependent, with a persistent, chylous pleural effusion which contained a preponderance of lymphocytes. Congenital pulmonary lymphangiectasia (CPL) was confirmed histologically. Worsening episodes of atrial tachycardia, including episodes of atrial fibrillation, were further investigated and a repeat echocardiogram revealed thickening of the entire right atrial wall. The cardiac findings of a thickened right atrial wall with the histological signs of myocarditis were thought to be the cause of paroxysms of atrial fibrillation, an extremely rare arrhythmia in the neonatal period. 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Initial echocardiography showed a structurally normal heart. During the first week of life, episodic atrial tachycardia with 1:1 or 2:1 conduction was seen, requiring therapy with digoxin. The infant remained ventilator dependent, with a persistent, chylous pleural effusion which contained a preponderance of lymphocytes. Congenital pulmonary lymphangiectasia (CPL) was confirmed histologically. Worsening episodes of atrial tachycardia, including episodes of atrial fibrillation, were further investigated and a repeat echocardiogram revealed thickening of the entire right atrial wall. The cardiac findings of a thickened right atrial wall with the histological signs of myocarditis were thought to be the cause of paroxysms of atrial fibrillation, an extremely rare arrhythmia in the neonatal period. To the authors' knowledge there have been no previous reports of CPL in association with the cardiac abnormalities described herein.</description><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - complications</subject><subject>Atrial Fibrillation - pathology</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Heart Atria - pathology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Lung - pathology</subject><subject>Lung Diseases - complications</subject><subject>Lung Diseases - pathology</subject><subject>Lymphangiectasis - complications</subject><subject>Lymphangiectasis - pathology</subject><subject>Medical sciences</subject><subject>neonate</subject><subject>Pneumology</subject><subject>pulmonary lymphangiectasia</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkNtLwzAYxYMoOi9_gjBEfGtNk6ZNRJAh3kC8gJfH8CVLNLPtZtLh9t-bsjKfzUsSzvnOd_ghdJThNIvndJJmBcsSQkiZZkLwtFUYC1amiw00WEubaIA5pgkjjO6g3RAmGBMq8mIbbQsuck7ZAJ2PWu-gGlqnvKsqaN20Gf649nPYmGkDbZRm86qOT78cVst69gnNhzO6heBgH21ZqII56O899Hp99XJ5m9w_3txdju4TTQuRJ1ZrDQSw4IYapiyhQMeWY54XJc0FM4ISsLbs_lyJnJQclKIUiBhjpcZ0D52scmd--j03oZW1C9rEurHkPMhCZHnJyiIaz1ZG7acheGPlzLs6VpcZlh06OZEdH9nxkR062aOTizh82G-Zq9qM16M9q6gf9zoEDZX10GgX_jYURDDMo-1iZftxlVn-o4AcPY0yivOYkKwSXGjNYp0A_ktGYCWT7w83khcM0-e3Z0noL3Dcmug</recordid><startdate>199812</startdate><enddate>199812</enddate><creator>Estlin, EJ</creator><creator>Bennett, MK</creator><creator>Skinner, JR</creator><creator>Milligan, DWA</creator><creator>Wren, C</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199812</creationdate><title>Atrial fibrillation with neonatal pulmonary lymphangiectasia</title><author>Estlin, EJ ; Bennett, MK ; Skinner, JR ; Milligan, DWA ; Wren, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3694-fccca2a098e3e5bf23a3df8084673495e932aff784678b94278abb33a29d0bbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - complications</topic><topic>Atrial Fibrillation - pathology</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Heart Atria - pathology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Lung - pathology</topic><topic>Lung Diseases - complications</topic><topic>Lung Diseases - pathology</topic><topic>Lymphangiectasis - complications</topic><topic>Lymphangiectasis - pathology</topic><topic>Medical sciences</topic><topic>neonate</topic><topic>Pneumology</topic><topic>pulmonary lymphangiectasia</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Estlin, EJ</creatorcontrib><creatorcontrib>Bennett, MK</creatorcontrib><creatorcontrib>Skinner, JR</creatorcontrib><creatorcontrib>Milligan, DWA</creatorcontrib><creatorcontrib>Wren, C</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Estlin, EJ</au><au>Bennett, MK</au><au>Skinner, JR</au><au>Milligan, DWA</au><au>Wren, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrial fibrillation with neonatal pulmonary lymphangiectasia</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>1998-12</date><risdate>1998</risdate><volume>87</volume><issue>12</issue><spage>1304</spage><epage>1306</epage><pages>1304-1306</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>A female infant born at 28 weeks' gestation was found to have mild hydrops foetalis. Initial echocardiography showed a structurally normal heart. During the first week of life, episodic atrial tachycardia with 1:1 or 2:1 conduction was seen, requiring therapy with digoxin. The infant remained ventilator dependent, with a persistent, chylous pleural effusion which contained a preponderance of lymphocytes. Congenital pulmonary lymphangiectasia (CPL) was confirmed histologically. Worsening episodes of atrial tachycardia, including episodes of atrial fibrillation, were further investigated and a repeat echocardiogram revealed thickening of the entire right atrial wall. The cardiac findings of a thickened right atrial wall with the histological signs of myocarditis were thought to be the cause of paroxysms of atrial fibrillation, an extremely rare arrhythmia in the neonatal period. To the authors' knowledge there have been no previous reports of CPL in association with the cardiac abnormalities described herein.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9894835</pmid><doi>10.1111/j.1651-2227.1998.tb00957.x</doi><tpages>3</tpages></addata></record> |
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| ispartof | Acta Paediatrica, 1998-12, Vol.87 (12), p.1304-1306 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Atrial fibrillation Atrial Fibrillation - complications Atrial Fibrillation - pathology Biological and medical sciences Female Heart Atria - pathology Humans Infant, Newborn Lung - pathology Lung Diseases - complications Lung Diseases - pathology Lymphangiectasis - complications Lymphangiectasis - pathology Medical sciences neonate Pneumology pulmonary lymphangiectasia Respiratory system : syndromes and miscellaneous diseases |
| title | Atrial fibrillation with neonatal pulmonary lymphangiectasia |
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