Egg on a string sign
Ipek Güney Varal, Pelin Dogan
The Pan African Medical Journal. 2018;31:79. doi:10.11604/pamj.2018.31.79.17024

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Egg on a string sign

Cite this: The Pan African Medical Journal. 2018;31:79. doi:10.11604/pamj.2018.31.79.17024

Received: 05/09/2018 - Accepted: 24/09/2018 - Published: 03/10/2018

Key words: Congenital heart disease, chest X-ray, newborn

© Ipek Güney Varal et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/31/79/full

Corresponding author: Ipek Güney Varal, Department of Pediatrics, Division of Neonatology, University of Health Sciences, Bursa Yüksek Ihtisas Teaching Hospital, Bursa, Turkey (ipekguneyvaral@gmail.com)


Egg on a string sign

Ipek Güney Varal1,&, Pelin Dogan1

 

1Department of Pediatrics, Division of Neonatology, University of Health Sciences, Bursa Yüksek Ihtisas Teaching Hospital, Bursa, Turkey

 

 

&Corresponding author
Ipek Güney Varal, Department of Pediatrics, Division of Neonatology, University of Health Sciences, Bursa Yüksek Ihtisas Teaching Hospital, Bursa, Turkey

 

 

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A 2850g male infant was born at 36 weeks gestation to a 26-year-old gravida 1 para 1 mother who did not receive routine prenatal care. Upon delivery he was hospitalized to the neonatal intensive care unit for severe respiratory distress. On physical examination, the infant had marked central cyanosis and a soft systolic murmur. Chest X-ray showed "egg on a string" sign raising suspicion for transposition of the great arteries, which was confirmed by urgent echocardiography and cardiac catheterization. Transposition of the great arteries is the most common cyanotic congenital heart lesion that presents in neonates. The hallmark of the condition is ventriculoarterial discordance and the classic "egg on a string" appearance on chest roentgenograms is found in one third of patients. A continuous infusion of prostaglandin E1 is the mainstay of emergent treatment followed by surgical arterial switch procedure.

 

 

Figure 1: egg on a string sign in chest X-ray

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Keywords

Congenital heart disease
Chest X-ray
Newborn

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