Cannot extubate a newborn patient after an arterial switch operation? check major aortopulmonary collaterals!
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.
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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