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Serelaxin for infant heart failure in congenital dilated cardiomyopathy

Published online by Cambridge University Press:  15 January 2018

Patrick O. Myers ,
Alice Bordessoule  and
Cécile Tissot
Patrick O. Myers*
Affiliation:
Cardiovascular Surgery, Geneva University Hospitals & Faculty of Medicine Geneva, Switzerland
Alice Bordessoule
Affiliation:
Pediatric Intensive Care, Children’s University Hospital Geneva & Faculty of Medicine, Geneva, Switzerland
Cécile Tissot
Affiliation:
Unit of Pediatric Cardiology, Children’s University Hospital Geneva & Faculty of Medicine, Geneva, Switzerland
*
Author for correspondence: P. O. Myers, MD, Division of Cardiovascular Surgery, Geneva University Hospitals & School of Medicine, 4 rue Gabrielle-Perret-Gentil, 1211 Geneva, Switzerland. Tel: +41 22 372 7638; Fax: +41 22 372 7634; E-mail: academic@myers.ch
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Abstract

Serelaxin has been studied in trials in adults with acute heart failure, but not in children. We report the first compassionate use of serelaxin in an infant. A 6-month-old girl with dilated cardiomyopathy was placed on extracorporeal membrane oxygenation following cardiac arrest unresponsive to medical treatment. Extracorporeal membrane oxygenation weaning failed despite maximal ino-dilator therapy. During the 48-hour infusion of serelaxin, we observed marked improvement in brain natriuretic peptide, left ventricular systolic function, and dilatation. The patient was successfully weaned from extracorporeal membrane oxygenation 24 hours later. The child died after a second extracorporeal membrane oxygenation run owing to sepsis.

Keywords

Heart failureCHDinotropic/vasoactive drugs
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 5 , May 2018 , pp. 734 - 736
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Copyright
© Cambridge University Press 2018 

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References

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