Truncus Arteriosus Type 1: A Case Report

Introduction. In patients suffering from heart disease, pregnancy is a risk factor for mortality. Heart disease in pregnant women can be in form of rheumatic heart disease, cardiomyopathy, or congenital heart disease. This case report is about the successful spinal anesthesia technique in cesarean section (C-section) patients with congestive heart failure due to congenital atrial septal defect, and pulmonary hypertension (PH). Case presentation. A pregnant woman, 24 years old, planned to have an emergency C-section. She complained about shortness of breath for 2 days before admission. Three months ago, the patient started to feel shortness of breath during activity and also complained her legs swelled. She has a history of congenital heart i.e. atrial septal defect (ASD), but not routinely been treated. Her examination showed tachypnea, murmur, bibasilar fine crackles lung sound, and pretibial pitting edema. Echocardiography showed ASD with pulmonary hypertension. Spinal Anesthesia using 0.5% isobaric bupivacaine 7.5 mg and fentanyl 25 µcg was given before surgery. Drugs was injected in L3-L4 level with the upper target was as high as T6. the head position is raised 30 degrees. Procedure went well and the APGAR score was 8/9, Patient was admitted to the ICU for one day and discharged from hospital at the 5 days of hospital care. Conclusion. Spinal single-shot spinal anesthesia with small doses of bupivacaine and adjuvant can be used as an alternative technique in emergency C-section for patients with congestive heart failure due to congenital atrial septal defect, and pulmonary hypertension.

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Spinal Anesthesia in Patient with Congestive Heart Failure due to Congenital Atrial Septal Defect, and Pulmonary Hypertension Undergoing Cesarean Section Procedure: A Case Report

Journal of Anesthesiology and Clinical Research ◽

10.37275/jacr.v1i2.141 ◽

2021 ◽

Vol 1 (2) ◽

pp. 95-102

Author(s):

Anugerah Ade Periambudi ◽

Rizal Zainal ◽

Mayang Indah Lestari

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Pulmonary Hypertension ◽

Heart Disease ◽

Case Report ◽

Atrial Septal Defect ◽

Spinal Anesthesia ◽

Congenital Heart ◽

Septal Defect ◽

Shortness Of Breath

Introduction. In patients suffering from heart disease, pregnancy is a risk factor for mortality. Heart disease in pregnant women can be in form of rheumatic heart disease, cardiomyopathy, or congenital heart disease. This case report is about the successful spinal anesthesia technique in cesarean section (C-section) patients with congestive heart failure due to congenital atrial septal defect, and pulmonary hypertension (PH). Case presentation. A pregnant woman, 24 years old, planned to have an emergency C-section. She complained about shortness of breath for 2 days before admission. Three months ago, the patient started to feel shortness of breath during activity and also complained her legs swelled. She has a history of congenital heart i.e. atrial septal defect (ASD), but not routinely been treated. Her examination showed tachypnea, murmur, bibasilar fine crackles lung sound, and pretibial pitting edema. Echocardiography showed ASD with pulmonary hypertension. Spinal Anesthesia using 0.5% isobaric bupivacaine 7.5 mg and fentanyl 25 µcg was given before surgery. Drugs was injected in L3-L4 level with the upper target was as high as T6. the head position is raised 30 degrees. Procedure went well and the APGAR score was 8/9, Patient was admitted to the ICU for one day and discharged from hospital at the 5 days of hospital care. Conclusion. Spinal single-shot spinal anesthesia with small doses of bupivacaine and adjuvant can be used as an alternative technique in emergency C-section for patients with congestive heart failure due to congenital atrial septal defect, and pulmonary hypertension.

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Repair of complete atrioventricular septal defect with severe pulmonary hypertension -effect of re-pulmonary artery banding and analysis of lung biopsy a case report-

The Japanese Journal of Thoracic and Cardiovascular Surgery ◽

10.1007/bf03250604 ◽

1998 ◽

Vol 46 (6) ◽

pp. 579-582 ◽

Cited By ~ 1

Author(s):

Motoshige Yamasaki ◽

Shiori Kawasaki ◽

Hiroshi Satoh ◽

Kazu Minami ◽

Yasuyuki Hosoda ◽

...

Keyword(s):

Pulmonary Hypertension ◽

Case Report ◽

Pulmonary Artery ◽

Lung Biopsy ◽

Septal Defect ◽

Atrioventricular Septal Defect ◽

Pulmonary Artery Banding ◽

Severe Pulmonary Hypertension ◽

Complete Atrioventricular Septal Defect ◽

Complete Atrioventricular

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Disturbance in Heart Rate during Exercise Following Lntracardiac Repair: Contribution of Cardiopulmonary Bypass

Pediatric Exercise Science ◽

10.1123/pes.4.3.270 ◽

1992 ◽

Vol 4 (3) ◽

pp. 270-280 ◽

Cited By ~ 2

Author(s):

Hélène Perrault ◽

André Davignon ◽

Gail Grief ◽

Anne Fournier ◽

Claude Chartrand

Keyword(s):

Heart Rate ◽

Cardiopulmonary Bypass ◽

Ventricular Septal Defect ◽

Congenital Heart Defect ◽

Congenital Heart ◽

Septal Defect ◽

Control Group ◽

Common Denominator ◽

Chronotropic Response ◽

Heart Defect

A disturbance in the chronotropic response to exercise has well documented following surgical repair of a congenital heart defect. Observations of a similar dysfunction following correction of simple atrial as well as ventricular septal defect suggest that its occurrence might be linked to a common denominator in the surgical procedures. Since cardiopulmonary bypass (CPB) is used for all initacardiac surgeries, the contribution of this factor to the abnormal response was examined. Three groups of patients von; evaluated: VSDop: operated on for a ventricular septal defect, CPB required; VSDnon-op: spontaneous closure of a congenital 73D, no surgery; and PDAoperated on for a patent ductus arteriosus, no CPB required. They were compared io a control group of healthy adolescents (C). The main, finding was that of lower submax final and maximal heart rates in VCDop disc in any other group. These results suggest that placement of cannulae resulting from-CPB could alter the control of heart rate during exercise and contribute to the abnormal chronotropic response following intracardiac repair of a congenital heart defect.

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Surgical Repair of Type I Truncus Arteriosus 7 Years After Pulmonary Artery Banding: A case Report.

The Kitakanto Medical Journal ◽

10.2974/kmj.48.215 ◽

1998 ◽

Vol 48 (3) ◽

pp. 215-218

Author(s):

Masao Suzuki ◽

Akio Ohtaki ◽

Shigeru Ohki ◽

Takashi Ibe ◽

Jun Murakami ◽

...

Keyword(s):

Case Report ◽

Pulmonary Artery ◽

Surgical Repair ◽

Pulmonary Artery Banding ◽

Truncus Arteriosus ◽

Type I

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Submitral Aneurysm After Pulmonary Artery Banding—A Case Report

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135116681297 ◽

2017 ◽

Vol 9 (3) ◽

pp. 364-367

Author(s):

Abid Iqbal ◽

Sabarinath Menon ◽

Baiju S. Dharan ◽

Kapilamoorthy Tirur Raman ◽

Jayakumar Karunakaran

Keyword(s):

Congenital Heart Disease ◽

Young Adults ◽

Heart Disease ◽

Case Report ◽

Pulmonary Artery ◽

Congenital Heart ◽

Interatrial Septum ◽

Pulmonary Artery Banding ◽

Complex Congenital Heart Disease ◽

Unique Case

Submitral aneurysms are rare clinical entities occurring predominantly in young adults of African descent. A host of etiologies have been proposed for this entity. We present a unique case of submitral aneurysm which developed after pulmonary artery banding in a three-year-old girl with complex congenital heart disease. The aneurysmal sac was burrowing into the interatrial septum.

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Prevalence and profile of congenital heart disease and pulmonary hypertension in Down syndrome in a pediatric cardiology service

Revista Paulista de Pediatria ◽

10.1590/0103-0582201432218913 ◽

2014 ◽

Vol 32 (2) ◽

pp. 159-163 ◽

Cited By ~ 17

Author(s):

Felipe Alves Mourato ◽

Lúcia Roberta R. Villachan ◽

Sandra da Silva Mattos

Keyword(s):

Congenital Heart Disease ◽

Pulmonary Hypertension ◽

Down Syndrome ◽

Heart Disease ◽

Congenital Heart ◽

Septal Defect ◽

Heart Diseases ◽

Heart Defects ◽

Descriptive Analysis ◽

Atrioventricular Septal Defect

OBJECTIVE:To determine the frequence and profile of congenital heart defects in Down syndrome patients referred to a pediatric cardiologic center, considering the age of referral, gender, type of heart disease diagnosed by transthoracic echocardiography and its association with pulmonary hypertension at the initial diagnosis.METHODS:Cross-sectional study with retrospective data collection of 138 patients with Down syndrome from a total of 17,873 records. Descriptive analysis of the data was performed, using Epi-Info version 7.RESULTS: Among the 138 patients with Down syndrome, females prevailed (56.1%) and 112 (81.2%) were diagnosed with congenital heart disease. The most common lesion was ostium secundum atrial septal defect, present in 51.8%, followed by atrioventricular septal defect, in 46.4%. Ventricular septal defects were present in 27.7%, while tetralogy of Fallot represented 6.3% of the cases. Other cardiac malformations corresponded to 12.5%. Pulmonary hypertension was associated with 37.5% of the heart diseases. Only 35.5% of the patients were referred before six months of age.CONCLUSIONS: The low percentage of referral until six months of age highlights the need for a better tracking of patients with Down syndrome in the context of congenital heart disease, due to the high frequency and progression of pulmonary hypertension.

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