Screening for Critical Congenital Heart Defects: One Positive Case Over Eight Years. What Does This Mean?
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
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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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 |
format |
article |
status_str |
publishedVersion |
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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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 |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133524360429568 |