Deferred Norwood in the setting of airway compression in double-inlet left ventricle with dextro-transposition of the great arteries.

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Annals of Pediatric Cardiology Pub Date : 2024-03-01 Epub Date: 2024-07-20 DOI:10.4103/apc.apc_30_24
Diego R Ruiz-Avila, Subhrajit Lahiri, Syed Javed Zaidi, Harma Khachig Turbendian
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引用次数: 0

Abstract

A 4.1 kg male neonate with a diagnosis of double-inlet left ventricle with dextro-transposition of the great arteries was intubated shortly after birth due to respiratory insufficiency. The initial management consisted of a successful Stage I hybrid procedure. Persistent respiratory insufficiency led to cross-sectional imaging and bronchoscopy that demonstrated severe airway compression from a dilated main pulmonary artery. A Norwood procedure with Blalock-Thomas-Taussig shunt was performed at 1 month of age to relieve the airway obstruction. The patient was discharged home on room air at 2 months of age. This case highlights a unique single-ventricle anatomic variant with airway compression, which was successfully managed with deferred Norwood palliation.

双入口左心室伴右大动脉外翻时气道受压的延迟诺伍德。
一名体重 4.1 千克的男性新生儿被诊断为左心室双入口、大动脉右侧横位,出生后不久就因呼吸功能不全而被插管。最初的治疗包括成功的 I 期混合手术。持续的呼吸功能不全导致横断面成像和支气管镜检查显示主肺动脉扩张导致气道严重受压。1 个月大时,为缓解气道阻塞,患者接受了带有布洛克-托马斯-陶西分流术的诺伍德手术。患者在 2 个月大时出院回家,呼吸室内空气。该病例突显了一种独特的单心室解剖变异并伴有气道受压,通过延期诺伍德姑息术成功地解决了这一问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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