Diagnosis and management of Transposition of great arteries within a pediatric cardiology network with the aid of telemedicine: A case report from Brazil

We present a case of a newborn from a remote, underserved area in the inland of Paraíba, a state from Northeast Brazil. She presented with clinical cyanosis at birth. With the aid of telemedicine, a neonatologist under online cardiology supervision performed a screening echocardiogram. The session e...

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Bibliographic Details
Published in:	Journal of telemedicine and telecare Vol. 22; no. 3; p. 179
Main Authors:	Galdino, Millena M, Hazin, Sheila Mv, de Araújo, Juliana Ss, Regis, Cláudio T, Rodrigues, Klecida N, Mourato, Felipe A, Mattos, Sandra da Silva
Format:	Journal Article
Language:	English
Published:	England 01-04-2016
Subjects:	Brazil Cardiology - methods Female Humans Infant, Newborn Pediatrics - methods Remote Consultation - methods Telemedicine Transposition of Great Vessels - diagnostic imaging Online health telemedicine remote consultation telecardiology
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Summary:	We present a case of a newborn from a remote, underserved area in the inland of Paraíba, a state from Northeast Brazil. She presented with clinical cyanosis at birth. With the aid of telemedicine, a neonatologist under online cardiology supervision performed a screening echocardiogram. The session established the diagnosis of simple transposition of the great vessels in the baby's first few hours of life. During the same telemedicine session, the necessary arrangements for transferal to a larger maternity center took place. The baby was maintained stable on prostaglandins and was subsequently transferred to a tertiary cardiac center in the neighboring State, Pernambuco. She underwent anatomical correction at day 10, presented no surgical or postoperative complications, and was discharged home at the age of 21 days. She is now over three years old and continues her follow-up care mostly at her hometown, with local pediatricians under online supervision by a cardiologist in a virtual outpatient clinic. The establishment of a Pediatric Cardiology Network, with the aid of telemedicine, can produce a major impact on the access to specialized health care for poor regions of developing countries.
ISSN:	1758-1109
DOI:	10.1177/1357633X15592733