Hypoxia Due to Unusual Right to Left Shunt after Arterial Switch Surgery

Hypoxia can occur after repair of transposition of great arteries. The most common cause of right to left shunt after arterial switch surgery is related to increased right ventricular pressures and persistent neonatal pulmonary arterial hypertension. We report a case of TGA repair causing right to l...

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Autores principales: Genny, Suresh Rao Kemundel, Kumar, Vignesh, Subramaniam, Ganapathy, Balakrishnan, KR
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253023/
https://www.ncbi.nlm.nih.gov/pubmed/33884985
http://dx.doi.org/10.4103/aca.ACA_152_19
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author Genny, Suresh Rao Kemundel
Kumar, Vignesh
Subramaniam, Ganapathy
Balakrishnan, KR
author_facet Genny, Suresh Rao Kemundel
Kumar, Vignesh
Subramaniam, Ganapathy
Balakrishnan, KR
author_sort Genny, Suresh Rao Kemundel
collection PubMed
description Hypoxia can occur after repair of transposition of great arteries. The most common cause of right to left shunt after arterial switch surgery is related to increased right ventricular pressures and persistent neonatal pulmonary arterial hypertension. We report a case of TGA repair causing right to left shunt with normal right ventricular pressures. Persistence of Eustachian valve with patent foramen ovale (PFO) is the unusual cause of hypoxia and desaturation. The patient was successfully managed by excision of Eustachian valve and closure of PFO.
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spelling pubmed-82530232021-07-09 Hypoxia Due to Unusual Right to Left Shunt after Arterial Switch Surgery Genny, Suresh Rao Kemundel Kumar, Vignesh Subramaniam, Ganapathy Balakrishnan, KR Ann Card Anaesth Case Report Hypoxia can occur after repair of transposition of great arteries. The most common cause of right to left shunt after arterial switch surgery is related to increased right ventricular pressures and persistent neonatal pulmonary arterial hypertension. We report a case of TGA repair causing right to left shunt with normal right ventricular pressures. Persistence of Eustachian valve with patent foramen ovale (PFO) is the unusual cause of hypoxia and desaturation. The patient was successfully managed by excision of Eustachian valve and closure of PFO. Wolters Kluwer - Medknow 2021 2021-04-19 /pmc/articles/PMC8253023/ /pubmed/33884985 http://dx.doi.org/10.4103/aca.ACA_152_19 Text en Copyright: © 2021 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Genny, Suresh Rao Kemundel
Kumar, Vignesh
Subramaniam, Ganapathy
Balakrishnan, KR
Hypoxia Due to Unusual Right to Left Shunt after Arterial Switch Surgery
title Hypoxia Due to Unusual Right to Left Shunt after Arterial Switch Surgery
title_full Hypoxia Due to Unusual Right to Left Shunt after Arterial Switch Surgery
title_fullStr Hypoxia Due to Unusual Right to Left Shunt after Arterial Switch Surgery
title_full_unstemmed Hypoxia Due to Unusual Right to Left Shunt after Arterial Switch Surgery
title_short Hypoxia Due to Unusual Right to Left Shunt after Arterial Switch Surgery
title_sort hypoxia due to unusual right to left shunt after arterial switch surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253023/
https://www.ncbi.nlm.nih.gov/pubmed/33884985
http://dx.doi.org/10.4103/aca.ACA_152_19
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AT subramaniamganapathy hypoxiaduetounusualrighttoleftshuntafterarterialswitchsurgery
AT balakrishnankr hypoxiaduetounusualrighttoleftshuntafterarterialswitchsurgery

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