Natural History of Newborn With Borderline Small Left Heart Without Interatrial Communication
| Autor: | Lubica Kovacikova, Michal Holan, Andrea Kantorova, Peter Skrak, Martin Zahorec |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Hemodynamics Aortic Coarctation Ultrasonography Prenatal Hypoplastic left heart syndrome Intensive care Internal medicine Hypoplastic Left Heart Syndrome medicine Humans Abnormalities Multiple Surgical repair business.industry Spontaneous closure Infant Newborn General Medicine medicine.disease Pulmonary edema Surgery Natural history Treatment Outcome Pediatrics Perinatology and Child Health Cardiology Hypoplastic left heart Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | World Journal for Pediatric and Congenital Heart Surgery. 5:100-104 |
| ISSN: | 2150-136X 2150-1351 |
| Popis: | A patient with a borderline small left heart requires difficult clinical decision making during prenatal and neonatal periods. This report describes the unusual natural history of a newborn with prenatally diagnosed hypoplastic left heart structures and early spontaneous postnatal closure of the interatrial communication. Initial deterioration from pulmonary edema and low-cardiac output improved with postnatal intensive care. During the seventh week of life, aortic coarctation was diagnosed and the infant underwent uneventful surgical repair. Despite transient clinical deterioration, early spontaneous closure of the interatrial communication in a newborn with borderline small left heart could be associated with gradual hemodynamic adaptation to postnatal biventricular circulation. |
| Databáze: | OpenAIRE |
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