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Ventricular septal defect closure in a child with osteogenesis imperfecta: risk factors and management
Biswa Ranjan Panda1, Ragini Pandey, Michael Ranger
1Department of Paediatric Cardiac Surgery, Mater Children's Hospital, Brisbane.
Insights
Successful cardiac surgery for osteogenesis imperfecta is possible with careful planning. This case study shows a child with osteogenesis imperfecta underwent ventricular septal defect closure without complications, highlighting a multidisciplinary approach.
Area of Science:
- Cardiology
- Pediatric Surgery
- Genetics
Background:
- Osteogenesis imperfecta (OI) presents significant challenges in cardiac surgery due to tissue fragility.
- A multidisciplinary strategy is crucial for managing OI patients undergoing surgical procedures.
Observation:
- A 6-year-old child diagnosed with osteogenesis imperfecta was evaluated for cardiac surgery.
- The patient had a ventricular septal defect requiring surgical intervention.
Findings:
- The child successfully underwent ventricular septal defect closure.
- The surgical procedure was completed without any intraoperative or postoperative complications.
Implications:
- This case demonstrates the feasibility of complex cardiac repair in pediatric patients with osteogenesis imperfecta.
- A well-planned, multidisciplinary approach can lead to favorable outcomes in these high-risk patients.
Abstract:
Cardiac surgery in patients with osteogenesis imperfecta is challenging as the friability of the tissues can be hazardous before, during, and after the operation. A multidisciplinary approach with a planned strategy is essential for the successful management of these patients. We present a 6-year old child with osteogenesis imperfecta, who underwent ventricular septal defect closure without any complication.
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