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
Artigo
em Inglês
| LILACS, Sec. Est. Saúde SP
| ID: biblio-1137291
Biblioteca responsável:
BR1.1
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.
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Brasil
Base de dados:
LILACS
/
Sec. Est. Saúde SP
Assunto principal:
Transposição dos Grandes Vasos
/
Transposição das Grandes Artérias
/
Comunicação Interventricular
Tipo de estudo:
Estudo observacional
Limite:
Humanos
/
Recém-Nascido
Idioma:
Inglês
Revista:
Rev. bras. cir. cardiovasc
Ano de publicação:
2020
Tipo de documento:
Artigo
Instituição/País de afiliação:
Saglik Bilimleri University/TR