Key result
A neonate with hypoplastic left heart syndrome dies on day 21 following comfort care.
Why the study?
Hypoplastic left heart syndrome in pregnancy is rare and its clinical outcomes require detailed reporting.
Case Report (n=1)
No
This case highlights the severe clinical course and poor prognosis of neonates born with antenatally diagnosed hypoplastic left heart syndrome.
Highlights feasibility of continuing pregnancy in fetal HLHS with maternal hypertension; leaves open standardized management protocols.
Hypoplastic left heart syndrome is abnormal development of left sided cardiac structure, leading to obstruction to blood flow from the left ventricular outflow tract.We are presenting a case of primigravida with 35weeks period of gestation with gestational hypertension with left hypoplastic heart syndrome with single umbilical artery which was diagnosed at 24weeks anomaly scan but she continued the pregnancy.Emergency caesarean section was done and a live male baby was delivered but shifted to NICU in view of antenatally diagnosed hypoplastic left heart syndrome.Baby was discharged on day 8 of life, on day 21 of life baby presented with gasping breaths.Chest x-ray showed extensive infiltrates and baby died due to pneumonia and cardiac arrest.
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DS et al. (2022) conducted a case report in Hypoplastic left heart syndrome (n=1). Hypoplastic left heart syndrome was evaluated on Neonatal outcome. A neonate with prenatally diagnosed hypoplastic left heart syndrome, born via emergency caesarean section, died on day 21 of life from pneumonia and cardiac arrest after parents declined surgery.
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