AN UNUSUAL PRESENTATION OF TOTAL ANOMALOUS PULMONARY VENOUS RETURN IN DICHORIONIC DIAMNIOTIC TWINS

DOES IT HAVE A GENETIC BACKGROUND?

  • VENKATESH BADUGU
  • BALAJI SUSARLA INDIVIDUAL
  • SUMAN KUMAR CHINTALAPALLY INDIVIDUAL
  • AJAY KULKARNI BHASKAR RAO INDIVIDUAL
  • HARSHITHA GATTU INDIVIDUAL
  • DIGNESH KUMAR BARALA INDIVIDUAL
Keywords: TOTAL ANOMALOUS PULMONARY VENOUS RETURN, GENETIC BACKGROUND, ROUTINE SCREENING

Abstract

Congenital heart defects (CHDs) represent the most common human birth defect, having a birth prevalence of 7-9 per 1000 singleton births . CHDs are more common in twin pregnancies with a  prevalence of approximately 20 in 1000 live births.Monochorionic (MC) twins are at even higher risk compared to Dichorionic (DC) twins.Herein, we report  a scenario where Dichorionic Diamniotic (DCDA) twins  who presented with  the same type of CHD (TAPVR: Total anomalous pulmonary venous return) in our Neonatal intensive care unit(NICU).Several familial cases of TAPVR have been reported, but no notable pedigree has been reported.Multiple case reports have shown a genetic background of TAPVR.Screening of all siblings with TAPVR is a burden to the patients due to psychological stress or financial problems on the parents. However, these consequences are outweighed by the benefit of diagnosing this critical disease early so that the patient can be taken for surgery before severe congestive heart failure develops. Therefore, if a genetic background is detected in a case of TAPVR, routine fetal echocardiography or cardiography immediately after birth is reasonable to screen TAPVR.

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Author Biography

VENKATESH BADUGU

Fellow in Neonatology, Department of Neonatology, Ankura private and Medical Research centre Pvt Ltd

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How to Cite
BADUGU, V., SUSARLA, B., CHINTALAPALLY, S. K., KULKARNI BHASKAR RAO, A., GATTU, H., & KUMAR BARALA, D. (2023). AN UNUSUAL PRESENTATION OF TOTAL ANOMALOUS PULMONARY VENOUS RETURN IN DICHORIONIC DIAMNIOTIC TWINS. Pediatric Review: International Journal of Pediatric Research, 10(3), 65-68. Retrieved from https://pediatrics.medresearch.in/index.php/ijpr/article/view/752
Issue
Vol 10 No 3 (2023): May-Jun
Section
Case Report

Copyright (c) 2023 Author (s). Published by Siddharth Health Research and Social Welfare Society

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