Buschmann CT, Stenzel W, Martin H, Heppner FL, Guddat SS, Tsokos M. Calcified myocardial necrosis in pediatric patients after cardiopulmonary resuscitation.
Forensic Sci Med Pathol 2012;
9:543-50. [PMID:
23264200 DOI:
10.1007/s12024-012-9400-8]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2012] [Indexed: 11/26/2022]
Abstract
We report three autopsy cases of wide-spread myocardial necrosis with calcification in pediatric patients after temporary generalized hypoxia and initially successful cardiopulmonary resuscitation, but subsequent in-hospital death. Autopsy and histological workup in all three cases showed multiple circumscribed calcified and necrotic areas in progressive stages of organization within the myocardium. We conclude that these macro- and microscopic autopsy features appear to be related to reperfusion injuries in children as a consequence of hypoxic-ischemic changes occurring in the peri- and postresuscitation period.
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