Journal of the Formosan Medical Association
Volume 106, Issue 2, Supplement , Pages S23-S26, 2007

Rerouting Surgery of Cardiac Type Total Anomalous Pulmonary Venous Return in a Premature Newborn with Very Low Birth Weight

  • Shu-Chien Huang

      Affiliations

    • Department of Traumatology, National Taiwan University Hospital, Taipei, Taiwan
    • ,
  • Chung-I Chang

      Affiliations

    • Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Chung-I Chang Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan

Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan

Received 23 September 2005; received in revised form 17 October 2005; accepted 7 March 2006.

Article Outline

Intracardiac repair for complex congenital heart defects in premature neonates with very low birth weight (VLBW) is still a challenge to pediatric cardiac surgeons. We report the successful rerouting of cardiac type total anomalous pulmonary venous return (TAPVR) in a premature newborn (36th gestational week) with VLBW (1250 g). She had severe hypoxemia and low cardiac output despite medical treatment. Rerouting surgery of TAPVR was performed under deep hypothermia circulatory arrest at the age of 20 days. The sternum was left open and approximated 2 days later. Follow-up echocardiography showed good ventricular function without pulmonary venous obstruction. The endotracheal tube was removed 7 days postoperatively. She was then discharged without complication. In conclusion, with improved cardiopulmonary bypass technique and perioperative care, open heart surgery can be performed in premature newborns with VLBW. [J Formos Med Assoc 2007;106(2 Suppl):S23-S26]

Key Words:  prematurity , total anomalous pulmonary venous return , very low birth weight

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PII: S0929-6646(09)60348-X

doi:10.1016/S0929-6646(09)60348-X

Journal of the Formosan Medical Association
Volume 106, Issue 2, Supplement , Pages S23-S26, 2007

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