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Cannot extubate a newborn patient after an arterial switch operation? check major aortopulmonary collaterals!
Tanidir, Ibrahim Cansaran; Ozturk, Erkut; Sahin, Murat; Haydin, Sertac; Guzeltas, Alper.
  • Tanidir, Ibrahim Cansaran; Saglik Bilimleri University. Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital. Department of Pediatric Cardiology. Istanbul. TR
  • Ozturk, Erkut; Saglik Bilimleri University. Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital. Department of Pediatric Cardiology. Istanbul. TR
  • Sahin, Murat; Saglik Bilimleri University. Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital. Department of Pediatric Cardiology. Istanbul. TR
  • Haydin, Sertac; Saglik Bilimleri University. Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital. Department of Pediatric Cardiovascular Surgery. Istanbul. TR
  • Guzeltas, Alper; Saglik Bilimleri University. Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital. Department of Pediatric Cardiology. Istanbul. TR
Rev. bras. cir. cardiovasc ; 35(4): 593-596, July-Aug. 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1137291
ABSTRACT
Abstract The standard treatment of transposition of the great arteries is the arterial switch operation (ASO). Despite successful surgical correction, patients cannot tolerate extubation after the operation. Major aortopulmonary collaterals (MAPCAs) are one of the rare causes of prolonged mechanical ventilation due to significant hemodynamic effects. We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Transposition of Great Vessels / Arterial Switch Operation / Heart Septal Defects, Ventricular Type of study: Observational study Limits: Humans / Infant, Newborn Language: English Journal: Rev. bras. cir. cardiovasc Year: 2020 Type: Article Institution/Affiliation country: Saglik Bilimleri University/TR

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Full text: Available Index: LILACS (Americas) Main subject: Transposition of Great Vessels / Arterial Switch Operation / Heart Septal Defects, Ventricular Type of study: Observational study Limits: Humans / Infant, Newborn Language: English Journal: Rev. bras. cir. cardiovasc Year: 2020 Type: Article Institution/Affiliation country: Saglik Bilimleri University/TR