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Delayed Diagnosis of Tricuspid Atresia: A Case Report
Ramita Nath Yogi1, Som Raj Awasthi2, Arun Kumar Mandal3
1Health Service Office Kalikot Manma, Kalikot, Nepal.
None:
Tricuspid atresia is a rare cyanotic congenital heart disease that impairs oxygenation. A 16-month-old female child from a rural area in Nepal presented with shortness of breath, cyanosis of the lips and extremities, feeding difficulties, and severe acute malnutrition. The patient had been diagnosed with cyanotic congenital heart disease at nine months but had sought treatment from shamans due to financial constraints. Diagnostic echocardiography at the referred center revealed tricuspid atresia type IB with a ventricular septal defect. While awaiting surgery, the child collapsed and was revived after cardiopulmonary resuscitation. Emergency surgery was then performed. After surgery, the child had a stormy recovery and was subsequently discharged home in stable condition.
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