Palliative management of a low-birth-weight infant with congenitally corrected transposition of the great arteries, severe restrictive foramen ovale, hypoplasia of the morphologically right ventricle, ventricular septal defect, and steno-insufficiency of the tricuspid valve.
A 3-month-old girl weighing 2160 g was diagnosed with congenitally corrected transposition of the great arteries, a ventricular septal defect, severe restrictive foramen ovale, hypoplasia of the morphologically right ventricle, and steno-insufficiency of the tricuspid valve. As her hemodynamic condition (which was comparable to that of the single ventricle with obstructed pulmonary venous pathway) deteriorated progressively, she underwent a palliative operation at 4 months of age. Postoperatively, she was managed with the "low resistance strategy" to achieve a stabilized state of the pulmonary circulation. Currently, 1.5 years after the operation, she is doing remarkably well.
Takabayashi
Shin
S
Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Edobashi, Tsu, Japan. shin1111@clin.medic.mie-u.ac.jp
Shimpo
Hideto
H
Yokoyama
Kazuto
K
Kajimoto
Masaki
M
Mitani
Yoshihide
Y
D013504:Cardiovascular Surgical Procedures / Q000379:methods; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications; D006346:Heart Septum / Q000473:pathology; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D007223:Infant; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D010166:Palliative Care; D014188:Transposition of Great Vessels / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000150:complications; D014264:Tricuspid Valve Stenosis / Q000150:complications