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Perinatal/Neonatal Case Presentation

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

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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References

  1. Burroughs JT, Edwards JE . Total anomalous pulmonary venous connection. Am Heart J 1960;59:913.

    CAS  Article  Google Scholar 

  2. Woodwark GM, Vince DJ, Ashmore PG . Total anomalous pulmonary venous return to the portal vein. Report of a case of successful surgical treatment. J Thorac Cardiovasc Surg 1963;45:662–666.

    CAS  PubMed  Google Scholar 

  3. Joy J, Subramanyan R, Balakrishnan KG . Total anomalous pulmonary venous connection (TAPVC) in children and adults: a pre- and postoperative study. Indian Heart J 1987;39:340–346.

    CAS  PubMed  Google Scholar 

  4. Cobanoglu A, Menashe VD . Total anomalous venous connection in neonates and young infants: repair in the current era. Ann Thorac Surg 1993;55:43–48.

    CAS  Article  Google Scholar 

  5. Goswami KC, Shrivastava S, Saxena A, Dev V . Echocardiographic diagnosis of total anomalous pulmonary venous connection. Am Heart J 1993;126:433–440.

    CAS  Article  Google Scholar 

  6. Sneed RC . Total anomalous pulmonary venous return: diagnosis by umbilical vessel catheterization. South Med J 1972;65:1145–1146.

    CAS  Article  Google Scholar 

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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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