[Primary arterial switch operation for complete transposition of the great arteries (type I) of a neonate weighing 1,378 g].
A 2-day-old female baby, delivered by emergent cesarean section at 35 weeks of gestational age with a birth weight of 1,378 g, was referred to our institute for intensive care of heart failure. By echocardiography and cardiac catheterization, the patient was diagnosed with isolated complete transposition of the great arteries. Primary arterial switch operation was performed at 13 days of age. No technical difficulty arose, imposed by the small size of cardiovascular structure. On the 5th postoperative day, surgical repair of intestinal perforation was performed. Convalescence thereafter was uneventful. She returned home on the 64th postoperative day with the body weight of 2,310 g. We conclude that primary arterial switch operation can be a feasible surgical option even in a neonate with very low birth weight.
Yamamoto
Yusuke
Y
Department of Cardiovascular Surgery, Japanese Red Cross Medical Center, Tokyo, Japan.
Kobayashi
J
J
Yashiro
K
K
Yoda
H
H
Tuchiya
K
K
Oosawa
K
K
Obana
K
K
Ishida
K
K
Kaneko
Y
Y
D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D014188:Transposition of Great Vessels / Q000601:surgery*