scholarly journals Anaesthetic Management of a Child with Congenital Rubella Syndrome Posted for Cochlear Implant - A Case Report

2021 ◽  
Vol 6 (1) ◽  
pp. 34-37
Author(s):  
Rohini Sagadevan ◽  
R Arun Kumar ◽  
K Pazhanambigai
Keyword(s):  
Pulmonary Artery ◽  
Patent Ductus Arteriosus ◽  
Cochlear Implant ◽  
Difficult Airway ◽  
Ductus Arteriosus ◽  
Anaesthetic Management ◽  
Congenital Rubella Syndrome ◽  
Pulmonary Artery Stenosis ◽  
Congenital Rubella ◽  
Patent Ductus

Congenital Rubella Syndrome (CRS) is a constellation of multi-system abnormalities and each problem has significant anaesthetic implications. These patients pose various challenge to anesthesiologists like unanticipated difficult airway, uncorrected cardiac lesions, etc. Anesthetic for cochlear implant in child with CRS has not been reported. Anaesthetic management in an infant with PS should be based on decrease in pulmonary vascular resistance (PVR), avoidance of tachycardia with sinus rhythm, myocardial depression, systemic hypotension and adequate intra vascular volume. Here we report the anaesthetic management of a 5 year aged child with congenital rubella syndrome - post device closure of Patent ductus arteriosus, bilateral cataract surgery with moderate branch pulmonary artery stenosis and mental retardation posted for cochlear implant. Keywords: Congenital rubella syndrome, pulmonary artery stenosis, difficult airway, cochlear implant, patent ductus arteriosus.

scholarly journals Characteristics of Patent Ductus Arteriosus in Congenital Rubella Syndrome

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Michiko Toizumi ◽  
Cam Giang T. Do ◽  
Hideki Motomura ◽  
Tin N. Do ◽  
Hirofumi Fukunaga ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Patent Ductus Arteriosus ◽  
Transcatheter Closure ◽  
Ductus Arteriosus ◽  
Congenital Rubella Syndrome ◽  
Systemic Hypertension ◽  
Cardiac Complications ◽  
Tubular Type ◽  
Congenital Rubella ◽  
Patent Ductus

AbstractThis study investigated the characteristics of congenital rubella syndrome (CRS)-associated cardiac complications, particularly patent ductus arteriosus (PDA). We reviewed the medical records of patients with CRS who were admitted to the Children’s Hospital 1 in Vietnam between December 2010 and December 2012, and patients with CRS who underwent PDA transcatheter occlusion therapy at the cardiology department between December 2009 and December 2015. We compared the characteristics of PDA treated with transcatheter closure between children with CRS (CRS-PDA) and those without CRS (non-CRS-PDA) who underwent PDA transcatheter closure between July 2014 and December 2015. One-hundred-and-eight children with CRS were enrolled. Cardiac defects (99%), cataracts (72%), and hearing impairment (7%) were detected. Fifty CRS-PDA and 290 non-CRS-PDA patients were examined. CRS-PDA patients had smaller median birthweight (p < 0.001), more frequent pulmonary (p < 0.001) and aortic stenosis (p < 0.001), higher main pulmonary artery pressure, and higher aortic pressure in systole/diastole (p < 0.001 for each) than did non-CRS-PDA patients. The proportion of tubular-type PDA was higher in CRS-PDA patients (16%) than in non-CRS-PDA patients (3%) (p = 0.020). Tubular-type PDA was frequently seen in patients with CRS and accompanied by pulmonary/systemic hypertension and pulmonary/aortic stenosis; in these patients, more cautious device selection is needed for transcatheter PDA closure.

Severe Pulmonary Arteriopathy in a Neonate with Congenital Rubella Syndrome and Patent Ductus Arteriosus

2019 ◽  
Vol 56 (10) ◽  
pp. 868-872 ◽  
Author(s):  
Supreet Khurana ◽  
Akriti Bansal ◽  
Shiv Sajan Saini ◽  
Anand Mishra ◽  
Praveen Kumar
Keyword(s):  
Patent Ductus Arteriosus ◽  
Ductus Arteriosus ◽  
Congenital Rubella Syndrome ◽  
Congenital Rubella ◽  
Patent Ductus

One-step treatment of patent ductus arteriosus and pulmonary artery stenosis by cardiac catheterization

2003 ◽  
Vol 59 (2) ◽  
pp. 271-275 ◽  
Author(s):  
Giuseppe Santoro ◽  
Maurizio Cappelli Bigazzi ◽  
Maria Teresa Palladino ◽  
Marianna Carrozza ◽  
Maria Giovanna Russo ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Patent Ductus Arteriosus ◽  
Cardiac Catheterization ◽  
Ductus Arteriosus ◽  
Artery Stenosis ◽  
Pulmonary Artery Stenosis ◽  
One Step ◽  
Patent Ductus

scholarly journals Device Closure of Patent Ductus Arteriosus in Complicated Patient

1970 ◽  
Vol 7 (1) ◽  
pp. 43-45 ◽  
Author(s):  
NNF Begum
Keyword(s):  
Pulmonary Hypertension ◽  
Patent Ductus Arteriosus ◽  
Ductus Arteriosus ◽  
Pulmonary Stenosis ◽  
Critical Time ◽  
Congenital Rubella Syndrome ◽  
Severe Pulmonary Hypertension ◽  
Congenital Rubella ◽  
Eye Problems ◽  
Patent Ductus

Introduction: Congenital Rubella Syndrome is caused by the destructive action of the rubella virus on the fetus at a critical time in development. If the infection occurs at 0-12 weeks of conception, there is a 51% chance of effect on the infant. Along with eye problems, mental retardation, deafness, growth retardation and developmental delays, some patient who survive infection, takes birth with congenital heart disease. Patent ductus arteriosus (PDA) is the most commonly reported heart problem. Case Report: Two cases of congenital rubella syndrome with large patent ductus arteriosus and severe pulmonary hypertension are reported here, whose PDA's were closed with Lifetech PDA occluder devices. One of them had multiple peripheral pulmonary stenosis which were also dilated with balloons. Both of them had interventions in same day. Key words: Patent ductus arteriosus (PDA); congenital rubella syndrome; severe pulmonary hypertension DOI: http://dx.doi.org/10.3329/jafmc.v7i1.8627 JAFMC Bangladesh. Vol 7, No 1 (June) 2011; 43-45

Ligation of left pulmonary artery instead of patent ductus arteriosus

2020 ◽  
Vol 30 (12) ◽  
pp. 1943-1945
Author(s):  
Semih Murat Yucel ◽  
Irfan Oguz Sahin
Keyword(s):  
Surgical Treatment ◽  
Pulmonary Artery ◽  
Patent Ductus Arteriosus ◽  
Surgical Complication ◽  
Ductus Arteriosus ◽  
Left Pulmonary Artery ◽  
Artery Ligation ◽  
Surgical Closure ◽  
Post Operative Period ◽  
Patent Ductus

AbstractDuctus arteriosus is an essential component of fetal circulation. Due to occurring changes in the cardiopulmonary system physiology after birth, ductus arteriosus closes. Patent ductus arteriosus can be closed by medical or invasive (percutaneous or surgical) treatment methods. Percutaneous or surgical closure of patent ductus arteriosus can be performed for the cases that medical closure failed. Surgical treatment is often preferred method for closure of patent ductus arteriosus in the neonatal period. The most common surgical complications are pneumothorax, recurrent laryngeal nerve injury, bleeding, and recanalisation. A very rare surgical complication is left pulmonary artery ligation that has been presented in a few cases in the literature. Echocardiography control should be performed in the early post-operative period, especially in patients with clinical suspicion. If reoperation is required, it should never be delayed. We report a newborn patient whose left pulmonary artery ligated accidentally during patent ductus arteriosus closure surgery and surgical correction of this complication at the early post-operative period.

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