Abstract
A case of a term female newborn, 40-week gestational age (by ultrasound (US)) with prenatal diagnosis of situs inversus and levocardia is reported. Transposition of the great arteries (TGA) and irregular fetal bradycardia were prenatally detected. Immediately after birth, electrocardiogram (ECG) monitoring revealed a complete heart block with no sign of hemodynamic compromise. The patient was then transferred to the neonatal intensive care unit (NICU) for ventilatory support. Close observation and further investigation with echocardiogram were undertaken. The patient was transferred by air at the age of 4 days to the Queen Sirikit National Institute of Child Health for definitive cardiovascular treatments. This paper describes how to overcome the challenges of transporting a very young neonate with complex cardiac problems.
Highlights
Congenital complete heart block (CCHB) appears 1 in 20,000 to 1 in 25,000 live births.[1]
The patient was transferred to the neonatal intensive care unit (NICU) for ventilatory support
We report a newborn with CCHB and complex cardiac diseases who required air transportation from Bangkok Hospital Udon to the National Pediatric Cardiac Center in Bangkok for definitive treatment
Summary
Congenital complete heart block (CCHB) appears 1 in 20,000 to 1 in 25,000 live births.[1]. The APGAR scores were 8, 9, 9 at 1, 5, 10 minutes respectively with the birth weight of 3,510 grams Her mother was a 24-year old Laotian woman, G2P0A1, with no underlying disease. The mother had her 1st antenatal care (ANC) at Bangkok Hospital Udon at the gestational age (GA) of 14-week, and due to COVID-19 pandemic, had the rest of her ANC in Lao People Democratic Republic (Lao PDR). She has blood group B with Rh positive. The mother requested to be transferred to Bangkok Hospital Udon for further treatments
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