Neonatal Cyanosis: Diagnostic and Management Challenges. (19th December 2010)

• Record Type: Journal Article
• Authors: Izraelit, A.; Ten, V.; Krishnamurthy, G.; Ratner, V.
• Other Names: Shuper A. Academic Editor.; Yeh T. F. Academic Editor.
• Is Part Of: ISRN pediatrics. Volume 2011(2011)
• Publication Date: 2010-12-19
• Subjects: Pediatrics -- Periodicals; Pediatrics; Pediatrics; Periodicals; 618.92
• DOI: 10.5402/2011/175931
• Languages: English
• ISSNs: 2090-469X

Abstract

Abstract : Neonatal central cyanosis is always a sign of serious pathological processes and may involve diverse organs and impose a significant diagnostic and therapeutic challenge. Here, we report an unusual presentation of Ebstein's anomaly, a rare congenital heart malformation, as the cause of central cyanosis in a one-week-old full-term infant. Initiation of PEG1 therapy in neonates with Ebstein's anomaly always needs a very careful consideration because of a high risk for the development of a "circular shunt" leading to severe deterioration of multiple organs perfusion.