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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentation

Serendipitous Diagnosis of Infracardiac Total Anomalous Pulmonary Venous Return by Umbilical Venous Catheter Blood Gas Samples

Journal of Perinatology volume 24, pages 315–316 (2004)Cite this article

Abstract

Total anomalous pulmonary venous return (TAPVR) is a rare congenital heart defect that occurs when all four pulmonary veins connect to the systemic venous circulation. We describe a full-term male neonate who presented with cyanosis and mild tachypnea shortly after birth. One umbilical artery and the umbilical vein were catheterized, and oxygen treatment was provided. Four echocardiograms indicated severe pulmonary hypertension and were negative for any congenital heart defects. After the umbilical artery catheter was removed, high partial pressure of oxygen was detected in blood samples drawn from the umbilical venous catheter that was positioned below the diaphragm. Based on this finding, TAPVR was suspected and confirmed with angiography through a central venous catheter. The neonate underwent a successful surgical repair to correct the cardiac defect.

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Authors and Affiliations

  1. Department of Pediatrics, Neonatal Intensive Care Unit, University of Verona, Verona, Italy

    Simone Rugolotto MD, Renzo Beghini MD & Ezio Maria Padovani MD

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  1. Simone Rugolotto MD
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  2. Renzo Beghini MD
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  3. Ezio Maria Padovani MD
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Rugolotto, S., Beghini, R. & Padovani, E. Serendipitous Diagnosis of Infracardiac Total Anomalous Pulmonary Venous Return by Umbilical Venous Catheter Blood Gas Samples. J Perinatol 24, 315–316 (2004). https://doi.org/10.1038/sj.jp.7211093

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  • DOI: https://doi.org/10.1038/sj.jp.7211093

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