KMID : 0878620010050020107
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Korean Journal of Pediatric Anesthesia 2001 Volume.5 No. 2 p.107 ~ p.111
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Severe Respiratory Distress Which Occurred in a Neonate with Tetralogy of Fallot in Absent Pulmonary Valve -A case report-
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Shin Il-Woo
Sohn Ju-Tae Lee Heon-Keun Chung Young-Kyun Jeon Se-Hyun
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Abstract
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Severe obstructive lesion of the trachea associated with complex congenital cardiac anomaly has generally been regarded as a fatal disease. Absent pulmonary valve syndrome is a rare malformation that is estimated to occur in 3¡6% of patients
with tetralogy of Fallot, but high mortality because of severe respiratory distress symptoms secondary to bronchial compression by the huge pulmonary arteries. Severe central and intrapulmonary bronchial compression may result secondary to aneurysmally dilated central pulmonary arteries and abnormal branching of segmental arteries, respectively. We report the anesthetic and postoperative management of neonate with tetralogy of Fallot in absent pulmonary valve who experienced severe respiratory distress after total correction and pulmonary artery plication.
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KEYWORD
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Airway: bronchial compression, Heart: congenital defect, absent pulmonary valve, tetralogy of fallot
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