[Two cases of coarctation complex associated with congenital esophageal atresia (Gross type C)].
Two cases of coarctation complex (CoA + VSD + PDA) associated with congenital esophageal atresia (Gross type C) were successfully treated with esophageal and two-staged cardiac surgery. The perioperative management of the two cases is discussed with special reference to circulatory, respiratory and nutritional problems. Case 1; A newborn was diagnosed as esophageal and cardiac anomalies and gastrostomy was performed followed by end to end anastomosis of the esophagus under receiving Prostaglandin E1 infusion. Although subclavian flap angioplasty (SFA) and pulmonary artery banding (PAB) were performed 1 month later, she had recurrent respiratory complications and malnutrition postoperatively due to bronchomalacia and gastroesophageal reflux (GER). Case 2; A newborn was diagnosed as esophageal atresia and underwent corrective surgery of it on the 1st day of life. After esophageal surgery congestive heart failure (CHF) developed progressively and CoA complex was evident by echocardiography 5 days later. SFA and PAB were performed 26th day of life. In spite of the palliative surgery for cardiac lesions, both patients had growth failure because of CHF, respiratory complications and malnutrition. As soon as the circulatory and respiratory condition improved, corrective surgery was performed and resulted in full recovery.
Department of Surgery, University of Tsukuba Hospital, Japan.
M
M
Abe
N
N
Atsumi
T
T
Hori
Y
Y
Hiramatsu
T
T
Mitsui
M
M
Hori
D001017:Aortic Coarctation / Q000150:complications / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000601:surgery*; D004933:Esophageal Atresia / Q000150:complications / Q000601:surgery*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn