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Atrioventricular Canal and Dextrocardia: A Case Report with Implications for Community-Based Providers

Lisa Clevenger, Amy Jnah, Desi Newberry

    Neonatal Network : NN
    |December 21, 2018
    PubMed

    Insights

    Congenital heart defects (CHD) are common birth defects. This case highlights a rare CHD with dextrocardia, emphasizing early assessment and coordinated care for infants.

    Area of Science:

    • Pediatric Cardiology
    • Neonatal Medicine
    • Congenital Malformations

    Background:

    • Congenital heart defects (CHD) are the most common congenital malformations, affecting 8 in 1,000 live births globally.
    • Approximately 40,000 infants in the US are born annually with CHD, with 25% being life-threatening.
    • Early identification and treatment are critical, especially for infants born in community hospitals.

    Observation:

    • This article details a rare case of an infant diagnosed with atrioventricular canal defect complicated by dextrocardia.
    • The case underscores the importance of thorough physical assessment in newborns.
    • Challenges in diagnosis and management in community settings are highlighted.

    Findings:

    • The case illustrates the complex interplay of embryology and pathophysiology in CHD.
    • Diagnostic strategies and timely intervention are crucial for favorable outcomes.
    • Effective interprofessional collaboration is vital for patient transfer and care.

    Implications:

    • This case emphasizes the need for enhanced diagnostic protocols and collaborative care models for complex CHD.
    • Improved nursing strategies are essential for facilitating seamless transfer of care to tertiary centers.
    • Understanding rare presentations like atrioventricular canal with dextrocardia can improve clinical recognition and management of congenital heart disease.

    Keywords:
    atrioventricular canalcardiac anomaliescardiac assessmentcardiologycongenital heart defectsdextrocardiaembryologyheartneonatal/infantnewbornphysical assessment

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