Neonatal Blues: Cyanosis and Failure to Thrive in a Newborn

Congenital heart disease is a spectrum of structural anatomic defects, and clinical manifestations arise from combination fixed anatomy dynamic physiologic processes. We describe newborn with acyanotic congenital who rapidly developed hypoxemia, cyanosis, respiratory distress, failure to thrive. Less than 2 weeks after birth, an unusual constellation cardiac (a large ventricular septal defect, double orifice mitral valve, supramitral ring) cumulatively yielded cyanotic physiology. The acute change prompted immediate anti-congestive therapy urgent cardiothoracic surgery. This case the first report successful neonatal surgery for this which are independently classified as defects. It important reminder that newborns multiple intracardiac lesions may behave unpredictably throughout transition period, differential diagnosis need not be strictly tied more common (i.e., limited one “classic five T’s” single ventricle). Int J Clin Pediatr. 2022;11(2):51-55 doi: https://doi.org/10.14740/ijcp486