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Scientific paper - Case study
Overt yet unrecognized cyanosis in a 3-year old boy with right pulmonary artery-to-left atrium communication: malpractice or ignorance?
Signa Vitae, 7 (2012), 2; 50-52. urn:nbn:hr:184:470481
Čače, Neven; Ovuka, Aleksandar; Bilić Čače, Iva; Banac, Srđan; Rožmanić, Vojko; Ahel, Vladimir

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Čače, N., Ovuka, A., Bilić Čače, I., Banac, S., Rožmanić, V. & Ahel, V. (2012). Overt yet unrecognized cyanosis in a 3-year old boy with right pulmonary artery-to-left atrium communication: malpractice or ignorance?. Signa Vitae, 7. (2), 50-52. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:470481

Čače, Neven, et al. "Overt yet unrecognized cyanosis in a 3-year old boy with right pulmonary artery-to-left atrium communication: malpractice or ignorance?." Signa Vitae, vol. 7, no. 2, 2012, pp. 50-52. https://urn.nsk.hr/urn:nbn:hr:184:470481

Čače, Neven, Aleksandar Ovuka, Iva Bilić Čače, Srđan Banac, Vojko Rožmanić and Vladimir Ahel. "Overt yet unrecognized cyanosis in a 3-year old boy with right pulmonary artery-to-left atrium communication: malpractice or ignorance?." Signa Vitae 7, no. 2 (2012): 50-52. https://urn.nsk.hr/urn:nbn:hr:184:470481

Čače, N., et al. (2012) 'Overt yet unrecognized cyanosis in a 3-year old boy with right pulmonary artery-to-left atrium communication: malpractice or ignorance?', Signa Vitae, 7(2), pp. 50-52. Available at: https://urn.nsk.hr/urn:nbn:hr:184:470481 (Accessed 20 May 2024)

Čače N, Ovuka A, Bilić Čače I, Banac S, Rožmanić V, Ahel V. Overt yet unrecognized cyanosis in a 3-year old boy with right pulmonary artery-to-left atrium communication: malpractice or ignorance?. Signa Vitae [Internet]. 2012 [cited 2024 May 20];7(2):50-52. Available at: https://urn.nsk.hr/urn:nbn:hr:184:470481

N. Čače, A. Ovuka, I. Bilić Čače, S. Banac, V. Rožmanić and V. Ahel, "Overt yet unrecognized cyanosis in a 3-year old boy with right pulmonary artery-to-left atrium communication: malpractice or ignorance?", Signa Vitae, vol. 7, no. 2, pp. 50-52, 2012. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:470481. [Accessed: 20 May 2024]

Metadata
Title (english)Overt yet unrecognized cyanosis in a 3-year old boy with right pulmonary artery-to-left atrium communication: malpractice or ignorance?
AuthorNeven Čače
AuthorAleksandar Ovuka
AuthorIva Bilić Čače
AuthorSrđan Banac
AuthorVojko Rožmanić
AuthorVladimir Ahel
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Pediatrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Pediatrics
Abstract (english)
We present the case of a 3 year-old boy with obvious and severe blue discoloration of the skin and mucous membranes, present since birth, accompanied by clubbing of the fingers. He lives in the city and has been seen regularly by his pediatrician, and yet was never recognized as cyanotic. Cardiac examination revealed a soft systolic heart murmur. Electrocardiography (ECG) and blood pressure were normal and all peripheral pulses were present. Laboratory tests showed arterial hypoxia and polycythaemia. Echocardiography (ECHO), Doppler, angiography and multi-slice computed tomography pulmonary angiogram were performed. A right pulmonary artery-to-left atrium communication was diagnosed. Other possible causes of cyanosis were excluded. The child underwent surgery. At follow-up, one year later, the child was in excellent health. Laboratory tests were within referent values and oxygen saturation was normal. Repeated ECHO studies showed a progressive decrease in the size of the left atrium. This case illustrates the importance of careful physical examination during everyday practice and emphasizes the importance of collaboration between the physician and parents to ensure child wellbeing
Keywords (english)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleSigna Vitae
Numberingvol. 7, no. 2, pp. 50-52
p-ISSN1334-5605
URN:NBNurn:nbn:hr:184:470481
Publication2012
Document URLhttp://bib.irb.hr/638741
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-03-30 17:10:00