Case Presentation
A 7 days old female patient presented at a local clinic for newborn
metabolic screening. The patient displayed symptoms of dehydration and
jaundice, along with an unspecified heart murmur. The mother reported
substance abuse (alcohol, cannabis, and cocaine) during pregnancy. After
birth, the patient was hospitalized for seven days due to
hyperbilirubinemia, microcephaly, and an unspecified congenital heart
defect.
After consulting a pediatric cardiologist, a right ventricular-coronary
fistula diagnosis was suspected. Treatment with furosemide and
spironolactone was initiated, and the patient was referred to a third
level hospital for further assessment and management. During the
examination, the patient appeared stable and asymptomatic. Upon
auscultation, a regurgitant murmur at the mesocardium was identified,
with no other significant findings.