RESUMO
A newborn presented in cardiogenic shock with the diagnosis of anomalous single coronary artery from pulmonary artery and was successfully revived with prostaglandin (PGE1) infusion. She underwent surgical implantation of her coronary arteries while receiving PGE1 infusion to maintain high oxygen tension for the coronaries during cardiopulmonary bypass. She was discharged in 2 weeks with good biventricular function and moderate mitral regurgitation. At 2 months follow-up, she was gaining weight with preserved ventricular function and moderate mitral regurgitation.
Assuntos
Cateterismo Cardíaco , Anomalias dos Vasos Coronários/cirurgia , Vasos Coronários/transplante , Ecocardiografia , Artéria Pulmonar/cirurgia , Reimplante/métodos , Procedimentos Cirúrgicos Vasculares/métodos , Anomalias dos Vasos Coronários/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Recém-NascidoRESUMO
The association of atrioventricular canal defect and cor triatriatum sinister is very rare and only a few anecdotal reports of successful surgical repair and outcome have been reported. We report a case of Rastelli type-B atrioventricular canal defect with cor triatriatum which was successfully repaired.
RESUMO
Complex muscular ventricular septal defect poses difficult surgical management and is associated with high morbidity and mortality despite advancements in surgical therapy. Device closure of muscular ventricular septal defect has been encouraging and has been used in hybrid approach at a few centres. However, device closure has some limitations in patients with complex muscular ventricular septal defect. We report a case of perventricular device closure of a complex muscular ventricular septal defect in a beating heart with entrapped right ventricular disc and its surgical management.
