BMJ Case Reports 2018; doi:10.1136/bcr-2018-226024
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Shadow over abdomen

  1. Sajit Nedungadi
  1. Neonatal Intensive Care Unit, St Mary’s Hospital
  1. Correspondence to Dr Devdeep Mukherjee, doc.devdeep{at}
  • Accepted 26 July 2018
  • Published 10 August 2018


Male neonate was born by normal vaginal delivery at 38 weeks. He was antenatally diagnosed to have dextrocardia, congenitally corrected transposition of great arteries, moderate ventricular septal defect and pulmonary atresia. He was born in good condition and cried at birth. However, he was noted to have saturation of 65%–70% in air and started on continuous positive airway pressure and transferred to neonatal intensive care unit for further monitoring. Postnatal echocardiography confirmed the diagnosis, and he was started on prostaglandin E1 (PGE1) at 5 nanogram/kg/min.

On day 3 of life, he underwent a cardiac gated CT angiography (CTA) for further understanding of anatomy and confirmation of diagnosis. In view of need for PGE1 until transfer to tertiary cardiac surgical centre, a …

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