[Complications of surgical treatment of interventricular communications in the infant].
Interventricular communication in the infant is presently treated by complete surgery under extracorporeal circulation and hypothermia. Improved techniques in surgery, anesthetics and resuscitation explain a low, acceptable, level of postoperative morbidity; it is estimated by most authors at 3-4% during the first six months of life. Postoperatively, acute pulmonary arterial hypertension is to be feared, resulting in low cardiocirculatory flow from right ventricle failure. In a group of 20 infants who underwent IVC surgery, the authors have observed two cases of this complication, one being lethal. Its treatment is based on the administration of alpha-blocking vasodilating agents, which can be associated or not with exogenous bêta I-adrenergic catecholamines. Results could probably be improved by preventing such acute postoperative pulmonary arterial hypertension.
D004280:Dobutamine / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005112:Extracorporeal Circulation; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy / Q000517:prevention & control; D007036:Hypothermia, Induced; D007223:Infant; D008297:Male; D010646:Phentolamine / Q000008:administration & dosage; D011183:Postoperative Complications / Q000188:drug therapy
D004280:Dobutamine; D010646:Phentolamine
Complications du traitement chirurgical des communications interventriculaires du nourrisson.