Document Detail


Rerouting surgery of cardiac type total anomalous pulmonary venous return in a premature newborn with very low birth weight.
MedLine Citation:
PMID:  17493892     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intracardiac repair for complex congenital heart defects in premature neonates with very low birth weight (VLBW) is still a challenge to pediatric cardiac surgeons. We report the successful rerouting of cardiac type total anomalous pulmonary venous return (TAPVR) in a premature newborn (36th gestational week) with VLBW (1250 g). She had severe hypoxemia and low cardiac output despite medical treatment. Rerouting surgery of TAPVR was performed under deep hypothermia circulatory arrest at the age of 20 days. The sternum was left open and approximated 2 days later. Follow-up echocardiography showed good ventricular function without pulmonary venous obstruction. The endotracheal tube was removed 7 days postoperatively. She was then discharged without complication. In conclusion, with improved cardiopulmonary bypass technique and perioperative care, open heart surgery can be performed in premature newborns with VLBW.
Authors:
En-Ting Wu; Shu-Chien Huang; Mei-Hwan Wu; Jou-Kou Wang; Chung-I Chang
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  106     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-05-11     Completed Date:  2007-05-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  S23-6     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures
Cardiopulmonary Bypass
Female
Heart Defects, Congenital / surgery*
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Pulmonary Veins / abnormalities*

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