کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2762654 1150721 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Endocarditic sinus of valsalva fistulae to right ventricular outflow tract in adult ventricular septal defects
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Endocarditic sinus of valsalva fistulae to right ventricular outflow tract in adult ventricular septal defects
چکیده انگلیسی


• Perioperative management of adult congenital cardiac patient with left to right shunting who underwent successful repair
• Necessary preoperative testing to determine if surgical closure of intracardiac shunt is feasible
• Long-term outcomes of those who underwent repair and those who did not

Surgical repair of congenital ventricular septal defects (VSDs) in adults is quite rare. Most congenital VSDs are repaired in children. Of those adult patients diagnosed as having VSDs, many are not repaired due to irreversible pulmonary vascular disease. Repair in a patient with a VSD and fistula is even more uncommon. From a review of the literature, we found no other case reports with our unique combination of echocardiographic and surgical findings: a supracristal VSD, right and left sinus of Valsalva fistulas into the right ventricular outflow tract, and a pulmonary artery to pulmonary vein fistula in the context of an aseptic endocarditis lesion. We review the important aspects of anesthetic management in an adult with an intracardiac shunt. An adult patient with unrepaired congenital VSD may develop multiple fistulas as a consequence of endocarditis. This patient refused surgery until the progressive dyspnea was worsened by the endocarditis and the fistulas. At the time of surgery, his ventricular ejection fraction measured 47%, the ventricular chambers were enlarged, and the pulmonary to systemic flow ratio measured 2:1. He did well clinically after the VSD and fistulae repair.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Anesthesia - Volume 27, Issue 4, June 2015, Pages 347–352
نویسندگان
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