A case is presented of neonatal death despite prompt management of a baby diagnosed at 30 h of age with d-transposition of great arteries and intact ventricular septum, restrictive foramen ovale, and constrictive ductus arteriosus. The literature in this matter is reviewed and the poor prognosis of such cases despite rapid intervention is again emphasized.
Transposition of great arteries Restrictive ductus arteriosus Restrictive foramen ovale
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Movie clip 4 Echocardiogram. Subcostal view demonstrating blood mixing at the atrial level via the stretched foramen ovale after the first trial of balloon dilatation. (AVI 5998 kb)
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