Monday, March 18, 2019

Journal of Neonatology and Clinical Pediatrics- Luipine Publishers


Total anomalous pulmonary venous connection (TAPVC) may cause clinical signs and symptoms of resistant to treatment respiratory distress syndrome (RDS) in the full-term newborn. Despite echocardiography being the basic diagnostic examination method, three-dimensional reconstructive computed tomography allows making a more precise operation plan by defining the anatomy in an excellent manner. Cardiologic evaluation should be done immediately in the case of RDS with treatment-resistant full-term newborn because a delay in the diagnosis increases operative mortality

Respiratory distress syndrome (RDS) is one of the main problems with premature infants and it develops as a result of surfactant deficiency due to lung immaturity. RDS is much rare in full-term newborns, and it usually appears in some clinical conditions causing secondary surfactant deficiency [1,2]. Particularly the obstructive type of total anomalous pulmonary venous connection (TAPVC), in which pulmonary veins drain into systemic venous structures or directly into right atrium without having any direct connection to left atrium, cause RDS by leading to severe pulmonary congestion. In this report it is reemphasized that obstructive TAPVC should be searched for an etiology of treatment resistant respiratory distress in the full-term newborn- Lupine Publishers.


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