학술논문

VSD in a kyphoscoliotic child: A perilous liaison!
Document Type
Letter
Source
Annals of Cardiac Anaesthesia. Oct-Dec2021, Vol. 24 Issue 4, p510-512. 3p.
Subject
*VENTRICULAR septal defects
*PULMONARY arterial hypertension
*CHILD patients
*PATENT foramen ovale
*CONGENITAL heart disease
*INFORMED consent (Medical law)
Language
ISSN
0971-9784
Abstract
It is noteworthy that the kyphoscoliosis related pathophysiology could have accentuated the VSD related PAH in the index case which is supported by the existing evidence on the cardiopulmonary consequences of the vertebral anomaly. Subsequently, a VSD patch closure was performed with the cardiopulmonary bypass (CPB) time of 85 min and aortic cross-clamp duration of 51 min under adequate heparinization and mild hypothermia. To the Editor, Congenital heart disease (CHD) often manifests as a component of multisystemic syndrome with the coexisting pathologies demonstrating the potential of compounding the underlying disease.[[1]] We describe the perioperative course of a 3-year-old kyphoscoliotic child posted for the surgical closure of the ventricular septal defect (VSD) wherein the interaction between the vertebral anomaly and CHD with the subsequent impact on the management is discussed. [Extracted from the article]