title: Mechanical cause for acute left lung atelectasis after neonatal aortic arch repair with arterial switch operation: Conservative management.
abstract: Respiratory complications due to mechanical obstruction of the airways can occur following pediatric cardiac surgery. Clinically significant intrathoracic vascular compression of the airway can occur when extensive dissection and mobilization of arch and neck vessels is involved as in repair of interrupted aortic arch. This case report describes a neonate who underwent interrupted aortic arch repair along with an arterial switch operation and developed a left lung collapse immediately after tracheal extubation. Fiber-optic bronchoscopy revealed vascular compression as the real culprit. The child was successfully managed conservatively.
authors.affiliation: Department of Cardiac Anesthesia, National Heart Center, Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: Madan Mohan
authors.initials: MM
authors.lastname: Maddali
authors.affiliation: Department of Cardiothoracic Surgery, National Heart Center, Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: Pranav Subbaraya
authors.initials: PS
authors.lastname: Kandachar
authors.affiliation: Department of Pediatric Intensive Care, National Heart Center, Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: Said
authors.initials: S
authors.lastname: Al-Hanshi
authors.affiliation: Department of Pediatric Intensive Care, National Heart Center, Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al Ghafri
authors.affiliation: Department of Cardiothoracic Surgery, National Heart Center, Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: John
authors.initials: J
authors.lastname: Valliattu
mesh_terms: D000208:Acute Disease; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology*; D001013:Aorta, Thoracic / Q000601:surgery*; D000069278:Arterial Switch Operation / Q000009:adverse effects*; D001999:Bronchoscopy; D000072700:Conservative Treatment / Q000379:methods*; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001261:Pulmonary Atelectasis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome