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| SPECIALIST ANSWERS
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Question |
A 1 month old baby presented with cyanosis, hyperepnoea,on enquiring had cyanosis since birth. 1.could it be TOF with a spell 2.does propranpolol have role in management of this baby?
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Answer |
The commonest cyanotic CHD in a neonate is TGA.
Also, rule out other causes like tricuspid atresia, TAPVC and TOF.
An Xray chest may be useful: egg shaped heart in TGA, shoe shaped
heart in TOF, Snowman shaped heart in TAPVC. The ideal investigation
would be 2D Echo and doppler of the heart. Propranolol is useful
in cyanotic spells. However, first rule out other CHD especially
TGA before labelling the child as TOF. Hope this answers your query. |
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