Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!

被引：1

作者：

Tanidir, Ibrahim Cansaran ^{[1
]}

Ozturk, Erkut ^{[1
]}

Sahin, Murat ^{[1
]}

Haydin, Sertac ^{[2
]}

Guzeltas, Alper ^{[1
]}

机构：

[1] Saglik Bilimleri Univ, Dept Pediat Cardiol, Istanbul Mehmet Akif Ersoy Thorac & Cardiovasc Su, Istasyon Mahallesi Istanbul Caddesi Bezirganbahce, TR-34303 Istanbul, Turkey

[2] Saglik Bilimleri Univ, Dept Pediat Cardiovasc Surg, Istanbul Mehmet Akif Ersoy Thorac & Cardiovasc Su, Istanbul, Turkey

来源：

BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY | 2020年 / 35卷 / 04期

关键词：

Transposition of the Great Vessels; Arterial Switch Operation; Airway Extubation; Cardiac Catheterization; Hemodynamics; Infants; Newborn; Humans; GREAT-ARTERIES; RISK-FACTORS; TRANSPOSITION;

D O I：

10.21470/1678-9741-2019-0109

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 septa! 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.

引用

页码：593 / 596

页数：4

共 8 条

[1] Evolution of risk factors influencing early mortality of the arterial switch operation [J].