Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!

The standard treatment of transposition of the great arteries is the arterial switch operation (ASO). Despite successful surgical correction, patients cannot tolerate extubation after the operation. Major aortopulmonary collaterals (MAPCAs) are one of the rare causes of prolonged mechanical ventilat...

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Detalles Bibliográficos
Autores principales: Tanıdır, Ibrahim Cansaran, Ozturk, Erkut, Sahin, Murat, Haydin, Sertac, Guzeltas, Alper
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7454627/
https://www.ncbi.nlm.nih.gov/pubmed/32864941
http://dx.doi.org/10.21470/1678-9741-2019-0109
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author Tanıdır, Ibrahim Cansaran
Ozturk, Erkut
Sahin, Murat
Haydin, Sertac
Guzeltas, Alper
author_facet Tanıdır, Ibrahim Cansaran
Ozturk, Erkut
Sahin, Murat
Haydin, Sertac
Guzeltas, Alper
author_sort Tanıdır, Ibrahim Cansaran
collection PubMed
description The standard treatment of transposition of the great arteries is the arterial switch operation (ASO). Despite successful surgical correction, patients cannot tolerate extubation after the operation. Major aortopulmonary collaterals (MAPCAs) are one of the rare causes of prolonged mechanical ventilation due to significant hemodynamic effects. We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure.
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spelling pubmed-74546272020-09-02 Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals! Tanıdır, Ibrahim Cansaran Ozturk, Erkut Sahin, Murat Haydin, Sertac Guzeltas, Alper Braz J Cardiovasc Surg Case Report The standard treatment of transposition of the great arteries is the arterial switch operation (ASO). Despite successful surgical correction, patients cannot tolerate extubation after the operation. Major aortopulmonary collaterals (MAPCAs) are one of the rare causes of prolonged mechanical ventilation due to significant hemodynamic effects. We report a 28-day-old newborn with transposition of the great arteries and a ventricular septal defect (VSD) who underwent ASO and VSD closure. After postoperative extubation failed twice, four large MAPCAs were revealed during heart catheterization. After transcatheter closure of these four MAPCAs, the patient was extubated and discharged 27 days after the procedure. Sociedade Brasileira de Cirurgia Cardiovascular 2020 /pmc/articles/PMC7454627/ /pubmed/32864941 http://dx.doi.org/10.21470/1678-9741-2019-0109 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tanıdır, Ibrahim Cansaran
Ozturk, Erkut
Sahin, Murat
Haydin, Sertac
Guzeltas, Alper
Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!
title Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!
title_full Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!
title_fullStr Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!
title_full_unstemmed Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!
title_short Cannot Extubate a Newborn Patient after an Arterial Switch Operation? Check Major Aortopulmonary Collaterals!
title_sort cannot extubate a newborn patient after an arterial switch operation? check major aortopulmonary collaterals!
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7454627/
https://www.ncbi.nlm.nih.gov/pubmed/32864941
http://dx.doi.org/10.21470/1678-9741-2019-0109
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