# Left Ventricular to Right Atrial Shunt in a Preterm Infant: A Case Report

## TL;DR

A rare heart condition in a preterm infant was detected using targeted neonatal echocardiography, highlighting its importance in early diagnosis.

## Contribution

Demonstrates the utility of targeted neonatal echocardiography in identifying a rare cardiac shunt in a preterm infant.

## Key findings

- Left ventricular to right atrial shunt was diagnosed in a preterm infant using targeted neonatal echocardiography.
- The case underscores the value of echocardiography in detecting rare cardiac anomalies in neonates.
- Early detection enabled timely management and improved clinical outcomes for the infant.

## Abstract

Background and Clinical Significance: Premature infants are at high risk of life-threatening complications due to the immaturity of multiple organ systems, and close monitoring in neonatal intensive care units is indispensable for their stabilization, survival, and morbidities. Despite major advances in perinatal care, cardiovascular pathology remains one of the most frequent morbidities in this population. Targeted neonatal echocardiography is implemented in many neonatal intensive care units around the world; it provides earlier and precise assessment during hemodynamic instability, allowing targeted management and follow-up. It can also detect red flags for anatomical heart defects. Left ventricular to right atrial shunt is a rare and presents a challenging diagnostic entity in very premature neonates. Case Presentation: We present a case of left ventricular to right atrial shunt in a preterm baby that was diagnosed by the Targeted neonatal echocardiography team. Conclusions: The purpose of this case report is to illustrate how targeted neonatal echocardiography enabled the identification of this rare diagnosis in a premature infant, which underscores its growing utility and value in neonatal care.