5.Early surgical treatment for infants with large atrial septal defects or ventricular septal defects complicated by pneumonia: experience of 39 cases.
Bu-Yun LI ; Yi-Feng YANG ; Zhong-Shi WU ; Tian-Li ZHAO ; Jin-Fu YANG ; Lian XIONG ; Ni YIN ; Li XIE
Chinese Journal of Contemporary Pediatrics 2008;10(3):315-318
OBJECTIVEThis research reported the experience of early surgical treatment for infants with large atrial septal defects (ASD) or ventricular septal defects (VSD) complicated by pneumonia.
METHODSBetween January 2003 and January 2008, 39 infants with large ASD or VSD complicated by pneumonia were admitted to the Second Xiangya Hospital. Thirty-six patients underwent surgical repair within 7-10 days after pneumonia had been controlled. Mean age was 5.4+/-3.4 months and mean weight was 4.7+/-1.6 kg in the 36 patients. Three patients received conservative treatment due to uncontrolled lung infections.
RESULTSOf the 36 patients, 33 had successful surgery and 3 (8.3%) died of serious low cardiac output (n=1) or respiratory failure due to congenital tracheostenosis (n=2). The 33 survivors showed normal growth and development in a 6 month-5 year follow-up. Of the 3 patients receiving conservative treatment, 1 died of cardiopulmonary failure and 2 were discharged after the symptoms had been improved.
CONCLUSIONSWith increasing medical experience and technique, early surgical operation may be performed with good outcomes in infants with large ASD or VSD complicated by pneumonia.
Adolescent ; Child ; Child, Preschool ; Female ; Heart Septal Defects, Atrial ; complications ; surgery ; Heart Septal Defects, Ventricular ; complications ; surgery ; Humans ; Infant ; Male ; Pneumonia ; etiology ; Postoperative Complications ; etiology
6.A Case of Partial Atrial Septal Defect Patch Closure Dehiscence Diagnosed by Transesophageal Echocardiography.
Su Hong KIM ; Si Won LEE ; Seong Woo YANG ; Sun Jung KIM ; Jung Kwang SHIN ; Tae Joon CHA ; Song Myung KIM ; Jae Woo LEE
Journal of the Korean Society of Echocardiography 2004;12(2):107-110
ASD is a common congenital anomaly. A dehiscence of ASD patch closure is extremely rare complication. It can be suspected by the postoperative hemodynamic abnormality. Because of hemodynamic impact, it commonly needs re-operation. A 55-year-old woman with ASD was in hospitalized with partial patch closure dehiscence 7 days after open heart surgery, which was detected by transesophageal echocardiography.
Echocardiography
;
Echocardiography, Transesophageal*
;
Female
;
Heart Septal Defects, Atrial*
;
Hemodynamics
;
Humans
;
Middle Aged
;
Postoperative Complications
;
Thoracic Surgery
8.Congenital Bronchoesophageal Fistula with Imperforate Anus and Atrial Septal Defect in a 3-Year-Old Child.
Kyong Bok MIN ; Jong Deok KIM ; Min Jung KIM ; Kyong Won KIM ; Myung Hyun SOHN ; Choon Sik YOON ; Dae Yeon KIM ; Kyu Earn KIM
Pediatric Allergy and Respiratory Disease 2012;22(4):428-432
Congenital bronchoesophageal fistula (BEF), congenital communication between esophagus and bronchus, is a rare malformation. Benign BEF shows only nonspecific symptoms that may delay a correct diagnosis and proper treatment. This is a case of a 3-year-old boy presenting congenital BEF with imperforate anus and atrial septal defect. He had recurrent pneumonia in the right lower lobe since he was 5 months old. A barium swallow examination showed a communicating fistula between the lower esophagus and the right lower lobe bronchus. Computed tomography scan supported to delineate the course of the fistula. He underwent resection surgery of the fistula and lobectomy of the right lower lobe. He recovered without any postoperative complications.
Anus, Imperforate
;
Barium
;
Bronchi
;
Child
;
Esophagus
;
Fistula
;
Heart Septal Defects, Atrial
;
Humans
;
Pneumonia
;
Postoperative Complications
Result Analysis
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