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Images in neonatal medicine
Pericardial effusion and pulmonary vein stenosis in severe bronchopulmonary dysplasia
  1. Emma E Williams1,
  2. Mahesh Nanjundappa2,
  3. Kunal Babla2,
  4. James Wong3,
  5. Theodore Dassios1,2,
  6. Anne Greenough1,4
  1. 1 Department of Women and Children’s Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK
  2. 2 Neonatal Intensive Care Centre, King's College Hospital NHS Foundation Trust, London, UK
  3. 3 Paediatric Cardiology, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK
  4. 4 The Asthma UK Centre for Allergic Mechanisms in Asthma, King's College London, London, UK
  1. Correspondence to Professor Anne Greenough, Department of Women and Children's Health, School of Life Sciences, Faculty of Life Science and Medicine, King's College London, London SE5 9RS, UK; anne.greenough{at}kcl.ac.uk

https://doi.org/10.1136/archdischild-2021-321830

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    A female infant with antenatally diagnosed trisomy 21 was delivered at 27 weeks. She was intubated at birth and given surfactant. A day 3 echocardiogram three showed a structurally normal heart, but severe pulmonary hypertension (PH). She required oscillation, nitric oxide and inotropes. At 1 week, she developed necrotising enterocolitis (NEC) and a perforation requiring resection and ileostomy formation. A subsequent echocardiogram showed resolved PH. She was …

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    Footnotes

    • Twitter @kunbab

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.