Med Bull Sisli Etfal Hosp. 2009; 43(4): 181-183

Causes of tachypnea in early neonatal period: Total anomalous pulmonary venous connection

Kemal Erdinç¹, Ali Bülbül¹, Ümit Sarýcý¹, Vedat Okutan², Mustafa Koray Lenk², Metin Demircin^3
1Department of Pediatrics, Neonatology Unit, Gülhane Military Medical Training Hospital, Ankara, Turkey
²Department of Pediatrics, Pediatric Cardiology Unit, Gülhane Military Medical Training Hospital, Ankara, Turkey
³Department of Cardiovascular Surgery, Hacattepe University, Hacattepe Faculty of Medical, Ankara, Turey

Total anomalous pulmonary venous connection (TAPVC) is a very rare congenital cardiovascular malformation. The most common clinical findings in the early neonatal period are tachypnea and central cyanosis. The prognosis is pretty good with early diagnosis and treatment. We aimed to emphasize the presence of TAPVC as one of the reasons of neonatal respiratory distress presenting a newborn admitted with the complaints of tachypnea and cyanosis to our center, diagnosed to have TAPVC and completely treated with surgery.

Keywords: Total anomalous pulmonary venous connection, newborn, early diagnosis

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Erken yenidoðan döneminde taþipne nedeni: Total anormal pulmoner venöz dönüþ

Kemal Erdinç¹, Ali Bülbül¹, Ümit Sarýcý¹, Vedat Okutan², Mustafa Koray Lenk², Metin Demircin^3
1Gülhane Askeri Týp Akademisi Haydarpaþa Eðitim Hastanesi, Çocuk Saðlýðý ve Hastalýklarý Anabilim Dalý, Yenidoðan Bilim Dalý, Ankara
²Gülhane Askeri Týp Akademisi Haydarpaþa Eðitim Hastanesi, Çocuk Saðýlýðý ve Hastalýklarý Anabilim Dalý, Çocuk Kardiyolojisi Bilim Dalý, Ankara
³Hacettepe Üniversitesi, Hacettepe Týp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalý, Ankara

Total anormal pulmoner venöz dönüþ oldukça seyrek görülen bir doðuþtan kalp hastalýðýdýr. Erken yenidoðan dönemde en sýk görülen klinik bulgular taþipne ve santral siyanozdur. Erken taný ve tedavi uygulamalarý ile prognoz oldukça iyidir. Merkezimize taþipne ve siyanoz bulgularý ile sevk edilen, yatýþýnýn ikinci saatinde total pulmoner venöz dönüþ anomalisi tanýsý konularak tam düzeltme ameliyatý yapýlan bir olgu sunularak, pulmoner venöz dönüþ anomalisinin yenidoðanýn solunum sýkýntýsý nedenleri arasýnda olduðunun vurgulanmasý amaçlanmýþtýr.

Anahtar Kelimeler: Total pulmoner venöz dönüþ anomalisi, yenidoðan, erken taný

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