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[Vascular ring associated with severe ventricular septal defect--report of a case with simultaneously surgical
Rinsho Kyobu Geka = Japanese Annals of Thoracic Surgery
|August 1, 1989
Insights
A pediatric patient with a vascular ring and ventricular septal defect (VSD) underwent successful surgical repair. The procedure resolved severe pulmonary hypertension and dysphagia, leading to a favorable recovery.
Area of Science:
- Cardiology
- Pediatric Surgery
- Thoracic Surgery
Background:
- Vascular rings, particularly right aortic arch with a left ligamentum arteriosum, can cause significant pediatric cardiovascular issues.
- Ventricular septal defects (VSD) are common congenital heart abnormalities that may require surgical intervention.
- Severe pulmonary hypertension and dysphagia in infants can be life-threatening complications of complex congenital heart disease.
Observation:
- A 1-year-and-4-month-old infant presented with a complex congenital heart defect involving a vascular ring and a large VSD.
- The patient exhibited severe pulmonary hypertension and dysphagia, directly attributed to the anatomical abnormalities of the vascular ring.
- Diagnostic imaging confirmed a right aortic arch with a left ligamentum arteriosum as the cause of vascular compression.
Findings:
- Surgical intervention involved the successful division of the left ligamentum arteriosum.
- Simultaneous patch closure of the large VSD was performed during the same operative procedure.
- The infant experienced an uneventful postoperative recovery period.
Implications:
- This case highlights the successful surgical management of a complex vascular ring anomaly coexisting with a large VSD in an infant.
- Effective treatment led to the resolution of critical symptoms like pulmonary hypertension and dysphagia.
- Favorable weight gain and recovery post-surgery indicate the potential for improved long-term outcomes in similar pediatric cases.
Abstract:
An 1 year and 4 months ill infant with vascular ring and VSD is presented. She had serious pulmonary hypertension and dysphagia because of vascular ring consisting of right aortic arch with left ligamentum arteriosum. Division of the ligamentum arteriosum and simultaneous patch closure of large VSD were performed successfully. Postoperative course was uneventful and she recovered from her body weight favorably.