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Sarah B. Mulkey, MD, Neonatal Neurologist, Arkansas Children’s Hospital
Clinical Case Study
BB was a 37 week gestation newborn boy with a prenatal diagnosis of hypoplastic left heart syndrome. The infant was delivered via emergency caesarian section at an outside hospital. During labor, non-reassuring fetal heart tones were detected. Apgar scores were 1, 3, and 5 at 1, 5, and 10 minutes, respectively. The infant was intubated at delivery for poor respiratory effort. A bedside balloon atrial septostomy was performed for a restrictive Patent Foramen Ovale. The infant was hypotensive so was started on dopamine and dobutamine and he was placed on prostaglandins for ductal patency. He was then transferred to the pediatric cardiovascular intensive care unit of a tertiary care pediatric hospital.
