[An 11-month-year-old girl with repeated respiratory infections]

Tidsskr Nor Laegeforen. 2010 Apr 22;130(8):846-8. doi: 10.4045/tidsskr.09.0632.
[Article in Norwegian]


Hidden behind subtle symptoms and unspecific signs, heart failure in children can pose a significant challenge regarding diagnostic approach as well as treatment strategy. A case report is presented for an 11-month-year-old girl with recurrent airway infections and signs of cardiac failure as a consequence of ventricular non-compaction. This disease is morphologically distinct; most likely a developmental defect of the ventricular myocardium. It is characterized by heterogeneity regarding both heredity, age of presentation, symptoms, hemodynamic disturbances, prognosis and therapeutic approach. In general, a symptomatic child with non-compaction has a poor prognosis with a prospect of severe cardiac failure and death. The article summarises how to approach a child presenting with cardiac failure; i.e. initial evaluation, diagnostic and initial stabilizing procedures and alternative treatment strategies. We also discuss specific treatment of ventricular non-compaction and briefly report on children with non-compaction at the largest pediatric cardiology centre in Norway.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization
  • Diagnosis, Differential
  • Female
  • Heart Failure / diagnosis*
  • Heart Failure / diagnostic imaging
  • Heart Failure / etiology
  • Heart Failure / therapy
  • Humans
  • Infant
  • Natriuretic Peptide, Brain / blood
  • Peptide Fragments / blood
  • Prognosis
  • Recurrence
  • Respiratory Tract Infections / diagnosis*
  • Ultrasonography


  • Peptide Fragments
  • pro-brain natriuretic peptide (1-76)
  • Natriuretic Peptide, Brain