Cannot extubate a newborn patient after an arterial switch operation? check major aortopulmonary collaterals!
Rev. bras. cir. cardiovasc
; Rev. bras. cir. cardiovasc;35(4): 593-596, July-Aug. 2020. tab, graf
Article
em En
| LILACS, SES-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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
/
SES-SP
Assunto principal:
Transposição dos Grandes Vasos
/
Transposição das Grandes Artérias
/
Comunicação Interventricular
Tipo de estudo:
Observational_studies
Limite:
Humans
/
Newborn
Idioma:
En
Revista:
Rev. bras. cir. cardiovasc
Assunto da revista:
CARDIOLOGIA
/
CIRURGIA GERAL
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Turquia
País de publicação:
Brasil