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Neonatal cardiac arrest or sudden unexpected death can be the presenting phenotype in some patients, emphasizing the importance of early clinical suspicion and intervention. We report a patient who had a cardiac arrest and died at one day of age. Following her death, the newborn screen reported biochemical evidence of VLCAD deficiency, which was confirmed with pathologic findings at autopsy and by molecular genetic testing.<\/jats:p>","DOI":"10.1002\/jmd2.12365","type":"journal-article","created":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T06:56:17Z","timestamp":1682924177000},"page":"261-264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Postmortem diagnosis of very long chain acyl\u2010<scp>CoA<\/scp> dehydrogenase (<scp>VLCAD<\/scp>) deficiency in a neonate with sudden cardiac death"],"prefix":"10.1002","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4022-6747","authenticated-orcid":false,"given":"Prapti","family":"Singh","sequence":"first","affiliation":[{"name":"Division of Genetics and Genomic Medicine, Department of Pediatrics Washington University School of Medicine in St. Louis  Saint Louis Missouri USA"},{"name":"Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology University of Iowa, Roy J. and Lucille A. Carver College of Medicine  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deirdre","family":"Amaro","sequence":"additional","affiliation":[{"name":"Department of Pathology and Anatomical Sciences University of Missouri School of Medicine  Columbia Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olugbemisola","family":"Obi","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Child Health University of Missouri School of Medicine  Columbia Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FNU","family":"Kiran","sequence":"additional","affiliation":[{"name":"Department of Pathology and Anatomical Sciences University of Missouri School of Medicine  Columbia Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Hediger","sequence":"additional","affiliation":[{"name":"Division of Genetics and Genomic Medicine, Department of Pediatrics Washington University School of Medicine in St. Louis  Saint Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomi L.","family":"Toler","sequence":"additional","affiliation":[{"name":"Division of Genetics and Genomic Medicine, Department of Pediatrics Washington University School of Medicine in St. Louis  Saint Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia I.","family":"Dickson","sequence":"additional","affiliation":[{"name":"Division of Genetics and Genomic Medicine, Department of Pediatrics Washington University School of Medicine in St. Louis  Saint Louis Missouri USA"},{"name":"Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology University of Iowa, Roy J. and Lucille A. 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