Table 5.
Details of the 28 cases of undetected duct dependent circulation in neonates (1 January 2004 to 31 December 2007) in Swedish referring regions not using pulse oximetry screening
| Diagnoses | Sequelae | |
|---|---|---|
| Severe acidosis | Death within 30 days | |
| Pulmonary and mixing duct dependent circulation | ||
| TGA | No | No |
| TGA | No | No |
| TGA | Yes | No |
| TGA | Yes (+ preoperative seizures) | No |
| TGA | Yes (ECMO, preoperative cerebral haemorrhage) | No |
| TGA, VSD | No | No |
| TGA, VSD | No | No |
| Complex TGA | N/A | Yes, undiagnosed |
| Pulmonary flow duct dependent circulation | ||
| TGA, PA, VSD | No | No |
| TGA, PA | No | No |
| PA | N/A | Yes, undiagnosed |
| Systemic and mixing duct dependent circulation | ||
| TGA, CoA, VSD | Yes, brain infarction, cerebral haemorrhage, preoperative seizures | No |
| Systemic flow duct dependent circulation | ||
| HLHS | N/A | Yes, undiagnosed |
| Critical AS | No | No |
| IAA, truncus arteriosus | Yes (pH 6.80) | No |
| IAA, VSD | No | No |
| CoA, VSD | Yes (pH 6.90) | No |
| CoA, VSD | N/A | Yes, undiagnosed |
| CoA, VSD | No | No |
| CoA, VSD | N/A | Yes, undiagnosed |
| CoA, AVSD | No | No |
| CoA | Yes | No |
| CoA | Yes | No |
| CoA | Yes | No |
| CoA | No | No |
| CoA | No | No |
| CoA | Yes (pH 7.14) | No |
| CoA | No | No |
ECMO=extracorporeal membrane oxygenation, N/A=information not available as infant died at home (severe acidosis would have preceded death), TGA=transposition of the great arteries, PA=pulmonary atresia, VSD=ventricular septal defect, AS=aortic stenosis, CoA=coarctation of the aorta, HLHS=hypoplastic left heart syndrome, IAA=interrupted aortic arch, AVSD=atrioventricular septal defect.