Biventricular Repair after Bilateral Pulmonary Artery Banding as a Rescue Procedure for a Neonate with Hypoplastic Left Heart Complex
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 107-111, 2016.
Article
Dans En
| WPRIM
| ID: wpr-77132
Responsable en Bibliothèque :
WPRO
ABSTRACT
Hypoplastic left heart complex (HLHC) consists of less severe underdevelopment of the left ventricle without intrinsic left valvular stenosis, i.e., a subset of hypoplastic left heart syndrome (HLHS). HLHC patients may be able to undergo biventricular repair, while HLHS requires single ventricle palliation (or transplant). However, there is no consensus regarding the likelihood of favorable outcomes in neonates with HLHC selected to undergo this surgical approach. This case report describes a neonate with HLHC, co-arctation of the aorta (CoA), and patent ductus arteriosus (PDA) who was initially palliated using bilateral pulmonary artery banding due to unstable ductus-dependent circulation. A postoperative echocardiogram showed newly appearing CoA and progressively narrowing PDA, which resulted in the need for biventricular repair 21 days following the palliation surgery. The patient was discharged on postoperative day 13 without complications and is doing clinically well seven months after surgery.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Aorte
/
Artère pulmonaire
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Hypoplasie du coeur gauche
/
Sténose pathologique
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Consensus
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Persistance du canal artériel
/
Coeur
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Cardiopathies congénitales
/
Ventricules cardiaques
Type d'étude:
Guideline
Limites du sujet:
Humans
/
Newborn
langue:
En
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2016
Type:
Article