ABSTRACT
A term appropriate for gestational age baby boy was delivered by lower segment caesarean section. The baby was antenatally diagnosed with resolving cystic adenomatoid malformation. At birth, he developed respiratory distress requiring active resuscitation and later was diagnosed to have right lung aplasia, managed with respiratory support. He gradually improved and was discharged home on room air.
Subject(s)
Cystic Adenomatoid Malformation of Lung, Congenital/diagnosis , Diagnostic Errors , Lung/abnormalities , Female , Humans , Infant, Newborn , Lung/diagnostic imaging , Male , Pregnancy , Respiratory System Abnormalities/diagnosis , Tomography, X-Ray Computed , Ultrasonography, PrenatalABSTRACT
Cardiac tamponade is a clinical emergency. Detection of a swinging heart rate is one of the earliest markers of large pericardial effusion, in which the four cardiac chambers are free to float in a phasic manner. We present a case of a preterm baby, one of the twins, who developed sudden onset of deterioration in the form of swinging heart rate, fluctuation in blood pressure and desaturation, requiring emergency intubation and inotropic support. Bedside functional echo was performed, which demonstrated cardiac tamponade; an immediate echocardiography-guided tap was initiated and fluid was aspirated from the pericardial space.
