Neonatology Today
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چکیده
Various estimates suggest that potentially life-threatening congenital heart disease is present in approximately 1:1,000 births1-5 (Table 1). Unfortunately this heart disease will go unrecognized in some neonates until symptoms develop. These delayed or missed diagnoses can result in both disability and death. The incidence of a missed diagnosis of critical congenital heart disease can be defined in various terms and occurs in anywhere from 1 in 3,500 to one in 25,000 live births.1-4, 6 The low incidence of missed congenital heart disease in our data from Wisconsin may be related to limiting the definition to death or readmission due to critical congenital heart disease occurring at less than 14 days of age.6
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Neonatology Today
The term, Hypoplastic Left Heart Syndrome (HLHS), initially proposed by Noonan and Nadas,8 describes a diminutive left ventricle with underdevelopment of mitral and aortic valves. A patent foramen ovale or an atrial septal defect is usually present. The ventricular septum is usually intact. A large patent ductus arteriosus supplies blood to the systemic circulation. Coarctation of the aorta is ...
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There is limited consensus on the diagnosis and management of a patent ductus arteriosus (PDA) in preterm neonates. PDA remains one of the most common cardiovascular abnormalities in preterm neonates occurring in about a third of infants below 30 weeks gestation and up to 60% of infants less than 28 weeks. Shunting from the systemic to the pulmonary circulations, oftentimes referred to as ducta...
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