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Severe unconjugated hyperbilirubinaemia with infradiaphragmatic total anomalous pulmonary venous connection.
  1. M Burch,
  2. U Dyamenahalli,
  3. I D Sullivan
  1. Department of Cardiology, Hospital for Sick Children, London.

    Abstract

    An 8 day old girl with infradiaphragmatic total anomalous pulmonary venous connection presented with severe unconjugated hyperbilirubinaemia; exchange transfusion resulted in haemodynamic deterioration. Hyperbilirubinaemia is a rare complication of this condition, however exchange transfusion should be avoided. The diagnosis can be made on the neonatal unit by ultrasound demonstration of dilated hepatic portal veins.

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