Tetralogy of Fallot and aspiration due to intrauterine asphyxia
Diagnosis almost certain
Presentation
Term newborn with intrauterine asphyxia, low APGAR, poor SpO2.
Patient Data
Age: newborn
AP portable CXR
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- ET tube low approximately at the level of the carina
- bilateral ropy perihilar airspace opacities suggestive of multiple subsegmental atelectasis, likely due to aspiration
- boot-like heart configuration
- umbilical vein catheter in situ
Case Discussion
Perihilar streaky opacities are most often caused by aspiration in newborns with intrauterine asphyxia. Subsequent echocardiography confirmed Fallot tetralogy.