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The Gasul Phenomenon Still Alive in the Developing World: A Case Report

Muluken Ahmed1, Mohammed Nasir2, Shibikom Tmrat3

  • 1Pediatrician, Arbaminch University, School of Medicine, Department of Pediatrics, Arbaminch, Ethiopia.

Ethiopian Journal of Health Sciences
|July 24, 2023
PubMed

Insights

Early surgical closure of ventricular septal defects (VSDs) can prevent complications like right ventricular outflow tract obstruction. This case highlights successful surgical intervention in a child with VSD and related issues.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Surgical Intervention

Background:

  • Ventricular septal defect (VSD) is the most common congenital heart disease in children.
  • Some VSDs may close spontaneously, but surgical intervention is crucial when indicated.
  • Complications like the Gasul phenomenon (right ventricular outflow obstruction) can arise from VSDs.

Observation:

  • A 7-year-old child presented with recurrent pneumonia, poor weight gain, and excessive sweating.
  • Echocardiography revealed a large perimembranous VSD and a small patent ductus arteriosus (PDA) in infancy.
  • The child later developed a muscular ridge causing right ventricular outflow tract obstruction.

Findings:

  • Surgical intervention included muscular ridge excision and closure of the VSD and PDA.
  • The patient's symptoms resolved post-operatively.
  • The child was discharged in stable condition following the successful surgical procedures.

Implications:

  • Early surgical closure of VSDs can effectively prevent complications such as right ventricular outflow tract obstruction.
  • This case underscores the importance of timely surgical management for complex congenital heart defects in pediatric patients.
  • Effective treatment strategies can lead to improved outcomes and resolution of symptoms in affected children.
Abstract

Keywords:
Case reportGasul phenomenaPatent ductus arteriosusperi membranous ventricular septal defectright ventricular outflow tract obstruction

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