Transposition of the Great Arteries and Coarctation of the Aorta in an Infant Presenting with Bronchiolitis An incidental fnding
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 3
Abstract
Te transposition of the great arteries (TGA) is a complex congenital heart disease which usually presents as cyanosis in neonates with limited mixing between the systemic and pulmonary circulatory systems. A delayed diagnosis of TGA can lead to ventricular failure. We report a six-week-old infant who was admitted to the paediatric Intensive Care Unit of the Royal Hospital, Muscat, Oman, in 2016 for bronchiolitis. During admission, she was incidentally diagnosed with TGA and coarctation of the aorta. Postnatal screening, including the use of pulse oximetry, plays a signifcant role in avoiding a late diagnosis of TGA; however, this screening tool is not widely used in Oman. Moreover, the common practice of applying a pulse oximetry probe only to the foot may have been limited in the current case due to the reverse differential saturation between the upper and lower limbs caused by this particular combination of lesions.
Authors and Affiliations
Khaloud S. Al-Mukhaini| Departments of Child Health, Royal Hospital, Muscat, Oman, Ala M. Mohamed| Departments of Pediatric Cardiology, Royal Hospital, Muscat, Oman
Trends and Characteristics of Head and Neck Injury from Falls A hospital based study, Qatar
Objectives: Te aim of this retrospective descriptive hospital-based study was to determine the trend in the number, incidence and pattern of head and neck injuries involved with falls. Methods: A retrospective analysis...
Heerfordt’s Syndrome Presenting with Recurrent Facial Nerve Palsy Case report and 10-year literature review
Heerfordt’s syndrome is defned as a combination of facial palsy, parotid swelling, uveitis and fever in sarcoidosis cases. Heerfordt’s syndrome as a cause of facial palsy is very rare. We report a case of alternatin...
Presentations of Sultan Qaboos University Clinico-Pathologic Conferences Sultan Qaboos University College of Medicine & Health Sciences and Sultan Qaboos University Hospital, 2014–2015
Obstetrics and Gynaecology as a Future Career for Medical Graduates in Oman: Factors that attract and discourage graduates
Objectives: Obstetrics and gynaecology (OBGYN) is a major speciality in the medical field that is often demanding yet rewarding; however, OBGYN receives the least number of applicants in Oman. This study aimed to determi...
A Case of Recurrent Abdominal Pain
The paper decribes the case of a forty-year-old male patient who was admitted with recurrent abdominal pain. Investigations revealed high levels of blood lead; symptoms responded promptly to treatment. The paper also rev...