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Updated: Jan 17, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
Continuous right-to-left ductal flow in a newborn
Jay Relan1, Nayana Nemani2, Reena Khantwal Joshi2
1Department of Pediatric Cardiac Sciences, Division of Pediatric Cardiology, Sir Ganga Ram Hospital, New Delhi, India.
Abstract:
We describe a 7-day-old newborn who presented with arterial desaturation and respiratory distress. The evaluation showed a duct with a continuous right-to-left shunt and an anomalous origin of the right pulmonary artery from the aorta. We discuss the hemodynamics leading to continuous right-to-left ductal flow and the subsequent intraoperative evaluation that resulted in a successful single-stage surgical repair of this interesting case.
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