A Diagnostic Dilemma: Transposition of the Great Arteries.
arterial switch surgery
cyanotic congenital heart disease
duct-dependent heart defects
prenatal ultrasonography
transposition of the great arteries
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
accepted:
12
05
2023
medline:
16
5
2023
pubmed:
16
5
2023
entrez:
15
5
2023
Statut:
epublish
Résumé
Transposition of the great arteries (TGA) remains one of the most common and severe underdiagnosed congenital cardiac anomalies in the prenatal period. Unfortunately, despite advances in prenatal ultrasound screening, the detection rate of major congenital heart defects (CHDs) remains low. We present the case of a preterm male infant delivered limp with generalized cyanosis and in respiratory distress at 36 weeks gestation with postnatal echocardiography (ECHO) depicting dextro-TGA (d-TGA). Maternal prenatal targeted fetal anomaly ultrasonography at 18 weeks gestation showed abnormal right ventricle and right ventricular outflow tract. Subsequent two-time repeat fetal ECHO showed ventricular septal defect. This case represents how challenging and unrecognized critical CHDs can be. Furthermore, it highlights the need for clinicians to have a high index of suspicion when newborns present with clinical manifestations of critical CHDs and manage it accordingly to avoid severe complications.
Identifiants
pubmed: 37188061
doi: 10.7759/cureus.38931
pmc: PMC10176758
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e38931Informations de copyright
Copyright © 2023, Oboli et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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