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Radiological Case of the Month
Janice W. Allison, MD;
Carol A. Stephenson, MD;
Teresita L. Angtuaco, MD;
Charles M. Glasier, MD;
Beverly P. Wood, MD
Am J Dis Child. 1991;145(4):471-472.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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A fetal cardiac abnormality was detected in a prenatal ultrasound examination of a 31-year-old woman. No family history of genetic syndromes or congenital heart disease was elicited, and she had two normal children. The infant, delivered by spontaneous vaginal delivery at 36 weeks' gestation, developed respiratory distress shortly after birth and was intubated.
Physical examination revealed afebrile, cyanotic female infant with tachycardia (heart rate, 116 to 152 beats per minute) and tachypnea (48 to 76 breaths per minute).
Hypopigmented macules were present on her back and buttocks. The liver was palpable 3 cm below the costal margin.
An electrocardiogram revealed Wolff-Parkinson-White complex, biventricular hypertrophy, and atrial enlargement. Laboratory values were unremarkable except for hypoxia. A chest roentgenogram (Fig 1), echocardiogram, cardiac magnetic resonance imaging (MRI) (Fig 2), and cranial computed tomography (CT) (Fig 3) and MRI (Fig 4) were performed during diagnostic workup.
The infant's congestive heart failure was treated
. . . [Full Text PDF of this Article]
Author Affiliations
Contributed from the Departments of Radiology, University of Arkansas for Medical Sciences (Drs Allison and Angtuaco) and Arkansas Children's Hospital (Drs Stephenson and Glasier), Little Rock.
Footnotes
Accepted for publication January 23, 1991.
Reprint requests to Department of Radiology, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027 (Dr Wood).
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