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A Case of Complete Functional Myocardial Regeneration in a Human Neonate
Journal article   Open access   Peer reviewed

A Case of Complete Functional Myocardial Regeneration in a Human Neonate

Jyoti Gur, Rajiv Devanagondi, Rebecca Pratt, Frank Smith, Jason Mandell, Susan Martin and George A. Porter
JACC. Case reports, Vol.30(14), 103622
06/11/2025
DOI: 10.1016/j.jaccas.2025.103622
PMCID: PMC12237733
PMID: 40514120
url
https://doi.org/10.1016/j.jaccas.2025.103622View
Published (Version of record) Open Access

Abstract

Background: Multiple studies demonstrate the cardiac regenerative capacity in neonatal mice in the first week of life. Although a similar regenerative window in the human neonatal hearts has not been defined clearly, existing evidence supports the concept of human neonatal cardiac regeneration. Case Summary: A neonate with a complex form of cyanotic tetralogy of Fallot demonstrated complete recovery of left ventricular function after an acute cardiac injury suffered on day of life 8. Discussion: This case report adds to limited but intriguing observations that human neonatal hearts may possess the regenerative capacity observed in animal models and that that capacity may be prolonged by hypoxemia. Take-Home Messages: A human neonatal heart has shown complete functional recovery after an ischemic injury. Hypoxemia may have extended the regenerative window of the human neonatal myocardium.
Congenital Heart Disease Ischemia cardiac regeneration hypoxemia

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