Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?

Detalhes bibliográficos
Autor(a) principal: Ferraz, Ana Isabel
Data de Publicação: 2020
Outros Autores: Silva, Patrícia, Mimoso, Gabriela, Morais, Sofia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25754/pjp.2020.18527
Resumo: Neonatal screening for congenital heart defects is a standard procedure. However, its low yield is being questioned particularly due to robust prenatal screening programs.  Nevertheless, some lesions, such as total anomalous pulmonary venous return, have a low prenatal diagnosis pick-up rate. In this context, pulse oximetry has an important role in its diagnosis. We report a case of a newborn with total anomalous pulmonary venous return with normal prenatal scans in which pulse oxymetry contributed positively to the diagnosis. In eight years of screening with pulse oximetry, this was the only case diagnosed in our center.
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spelling Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?Case reportsNeonatal screening for congenital heart defects is a standard procedure. However, its low yield is being questioned particularly due to robust prenatal screening programs.  Nevertheless, some lesions, such as total anomalous pulmonary venous return, have a low prenatal diagnosis pick-up rate. In this context, pulse oximetry has an important role in its diagnosis. We report a case of a newborn with total anomalous pulmonary venous return with normal prenatal scans in which pulse oxymetry contributed positively to the diagnosis. In eight years of screening with pulse oximetry, this was the only case diagnosed in our center.O rastreio de cardiopatias congénitas críticas complementa as ecografias fetais e o exame clínico do recém-nascido, no diagnóstico de algumas anomalias cardíacas congénitas. A importância do rastreio em centros terciários, com altas taxas de diagnóstico pré-natal de cardiopatias, tem sido questionada. No entanto, é também reconhecido que algumas anomalias, tais como o retorno venoso pulmonar anómalo total, apresentam uma baixa taxa de diagnóstico pré-natal. O rastreio com oximetria de pulso pode conduzir ao diagnóstico. Relatamos um caso de retorno venoso pulmonar anómalo total diagnosticado após o rastreio positivo das cardiopatias congénitas críticas e cujas ecografias obstétricas foram realizadas no nosso centro. Em oito anos de rastreio com oximetria de pulso, este foi o único caso verdadeiro positivo no nosso centro.Sociedade Portuguesa de Pediatria2020-07-09info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2020.18527eng2184-44532184-3333Ferraz, Ana IsabelSilva, PatríciaMimoso, GabrielaMorais, Sofiainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:58:03Zoai:ojs.revistas.rcaap.pt:article/18527Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:32.618450Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
title Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
spellingShingle Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
Ferraz, Ana Isabel
Case reports
title_short Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
title_full Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
title_fullStr Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
title_full_unstemmed Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
title_sort Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
author Ferraz, Ana Isabel
author_facet Ferraz, Ana Isabel
Silva, Patrícia
Mimoso, Gabriela
Morais, Sofia
author_role author
author2 Silva, Patrícia
Mimoso, Gabriela
Morais, Sofia
author2_role author
author
author
dc.contributor.author.fl_str_mv Ferraz, Ana Isabel
Silva, Patrícia
Mimoso, Gabriela
Morais, Sofia
dc.subject.por.fl_str_mv Case reports
topic Case reports
description Neonatal screening for congenital heart defects is a standard procedure. However, its low yield is being questioned particularly due to robust prenatal screening programs.  Nevertheless, some lesions, such as total anomalous pulmonary venous return, have a low prenatal diagnosis pick-up rate. In this context, pulse oximetry has an important role in its diagnosis. We report a case of a newborn with total anomalous pulmonary venous return with normal prenatal scans in which pulse oxymetry contributed positively to the diagnosis. In eight years of screening with pulse oximetry, this was the only case diagnosed in our center.
publishDate 2020
dc.date.none.fl_str_mv 2020-07-09
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://doi.org/10.25754/pjp.2020.18527
url https://doi.org/10.25754/pjp.2020.18527
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2184-4453
2184-3333
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Pediatria
publisher.none.fl_str_mv Sociedade Portuguesa de Pediatria
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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