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Transposition of Great Arteries with Constrictive Ductus Arteriosus Revisited

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Abstract

A case is presented of neonatal death despite prompt management of a baby diagnosed at 30 h of age with d-transposition of great arteries and intact ventricular septum, restrictive foramen ovale, and constrictive ductus arteriosus. The literature in this matter is reviewed and the poor prognosis of such cases despite rapid intervention is again emphasized.

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Author information

Correspondence to Ghassan Hamdan Al-Naami.

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Movie clip 1 Echocardiogram. Two-dimensional echo of the ductal view, showing lack of flow across the ductus arteriosus. This was obtained upon presentation. (AVI 3767 kb)

Movie clip 2 Echocardiogram. Ductal view showing small ductus arteriosus. This was obtained after increasing prostaglandin infusion dose. (AVI 10301 kb)

Movie clip 2 Echocardiogram. Ductal view showing small ductus arteriosus. This was obtained after increasing prostaglandin infusion dose. (AVI 10301 kb)

Movie clip 3 Echocardiogram. Subcostal view showing the restrictive foramen ovale before dilatation. (AVI 3230 kb)

Movie clip 4 Echocardiogram. Subcostal view demonstrating blood mixing at the atrial level via the stretched foramen ovale after the first trial of balloon dilatation. (AVI 5998 kb)

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Al-Naami, G.H., Al-Mesned, A.A. Transposition of Great Arteries with Constrictive Ductus Arteriosus Revisited . Pediatr Cardiol 29, 827–829 (2008) doi:10.1007/s00246-007-9189-5

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Keywords

  • Transposition of great arteries
  • Restrictive ductus arteriosus
  • Restrictive foramen ovale