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Effect of Chest Physiotherapy on Improving Pulmonary Function in Dealing With Congenital Heart Disease and Lung

Manali A Boob1, Moli Jain2, Divya M Badjate1

  • 1Department of Cardio-Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Cureus
|February 8, 2023
PubMed

Insights

This case report details a successful cardiorespiratory physiotherapy intervention for an infant with complex congenital heart defects, including patent ductus arteriosus (PDA) and pulmonary arterial hypertension (PAH). The treatment optimized the infant's cardiorespiratory function and recovery.

Area of Science:

  • Pediatric Cardiology
  • Neonatal Physiology
  • Thoracic Surgery

Background:

  • Patent ductus arteriosus (PDA) is a congenital heart defect where the ductus arteriosus fails to close post-birth.
  • Complex congenital heart disease in infants can present with significant cardiorespiratory compromise.

Observation:

  • A three-month-old infant presented with cough, poor feeding, and respiratory distress.
  • Diagnosed with PDA, pulmonary arterial hypertension (PAH), atrial septal defect (ASD), coarctation of the aorta (COA), and pneumonia.
  • Underwent left posterolateral thoracotomy for PDA ligation and coarctation repair.

Findings:

  • Cardiorespiratory physiotherapy was implemented to address post-surgical recovery.
  • Treatment focused on improving oxygen saturation, functional capacity, respiration, and cardiovascular function.
  • The infant demonstrated optimal functional recovery, as evidenced by FLACC scale and arterial blood gas analysis.

Implications:

  • This case highlights the critical role of targeted cardiorespiratory physiotherapy in managing infants with complex congenital heart disease post-surgery.
  • Effective physiotherapy can significantly enhance functional recovery and improve clinical outcomes in this vulnerable population.
  • Demonstrates a multidisciplinary approach to optimizing infant cardiorespiratory health.

Keywords:
chest vibrationflacc scalelung squeeze techniquepatent ductus arteriosusprolonged slow expiration

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