Conducting defect with atrial septal aneurysm in a preterm neonate: A case report from resource limited setting

Authors

  • Odetunde OI Department of Paediatrics
  • Ekwochi U Department of Paediatrics
  • Chinawa JM Department of Paediatrics
  • Ejim EC Department of Medicine
  • Ezugwu FO Department of Obstetrics and Gynaecology

Abstract

 Abstract: Conducting defect (CD) co-existing with interatrial septal anomaly (ISA) like Atrial Septal Aneurysm (ASA) is a rare
congenital heart disease presenting with bradyarrhythmia in-utero due to defects in the heart electrical conducting system. We report a case of a preterm female ‘CC’ (GA=35weeks) low birth weight (2.4kg) neonate with CD and associated ASA. CC’s mother
presented with poor foetal movements and bradyarrhythmia and had an emergency caesarian section at 35weeks with Apgar score  of 3, 5. She was managed for perinatal Asphyxia. This report highlights the fact that ASA resolved at around the first year of life but the associated heart electrical conducting system defects persisted. The report also emphasizes the challenges of  anaging a rare neonatal cardiac condition in a resource limited setting and the importance of thorough foetal biophysical profile and early interventional delivery when it is necessary.

Keywords: Conducting defect; neonatal; Atrial Septal Aneurysm. 

Author Biographies

  • Odetunde OI, Department of Paediatrics



  • Ejim EC, Department of Medicine


    University of Nigeria Teaching
    Hospital, Ituku Ozalla, Enugu,
    Enugu State,

  • Ezugwu FO, Department of Obstetrics and Gynaecology


    Enugu State University Teaching
    Hospital, Enugu,
    Nigeria.

Downloads

Published

2024-07-02

Issue

Vol. 42 No. 1 (2015): Nigerian Journal of Paediatrics

Section

CASE REPORTS

License

This is an open-access journal, and articles are distributed under the terms of the Creative Commons Attribution 4.0 License, which allows others to remix, transform, and build upon the work even, commercially, as long as appropriate credit is given to the author, and the new creations are licensed under identical terms

How to Cite

Conducting defect with atrial septal aneurysm in a preterm neonate: A case report from resource limited setting. (2024). NIGERIAN JOURNAL OF PAEDIATRICS, 42(1), 64-67. https://www.njpaediatrics.com/index.php/njp/article/view/295