Corrected transposition of great arteries with total cavopulmonary re-anastomosis of experience.docVIP

 PAGE \* MERGEFORMAT 7 Corrected transposition of great arteries with total cavopulmonary re-anastomosis of experience [Keywords:] Corrected transposition of great arteries; cardiopulmonary bypass; total cavopulmonary anastomosis November 2008 was 1 success in our hospital patients with complex congenital heart disease with total vena cava again - pulmonary artery anastomosis, the final report of their experience as follows: 1 Clinical data and methods Patients, male, 13 years old, height 149 m, weight 37 kg. Born after that cyanotic lips and limbs, one year old when the doctor diagnosed as congenital heart disease (coronary heart disease, CHD), Corrected transposition of great arteries (complete transposition of the great arteries, CTGA) .2002 patients on April 23 at age 7 because of the first CHD CTGA, ventricular septal defect (ventricular septal defect, VSD), right ventricular outflow tract obstruction (right ventricular outflow tract septum, RVOTS), anesthesia, cardiopulmonary bypass (caridiopulmonary bypass, CPB) down the upper right superior vena cava right pulmonary artery anastomosis (Glenn). after two years after the event in children with fatigue, shortness of breath, cyanosis increased and was readmitted in July 2008. admission diagnosis: CHD, CTGA, VSD, pulmonary stenosis, persistent left superior vena cava, chronic kidney disease, renal hypertension, Glenn operation. medical shows: children from malnutrition, hypertension (20/13.3 kpa). preoperative laboratory tests: hemoglobin 22.9 g / L, hematocrit 0.687, prothrombin time 25.9 s, creatinine 46.0 mmol / L, urinary protein 1.125 mg/24 h.SpO2 70%. on November 13 in the CPB anesthesia downlink total cavopulmonary anastomosis (total cavo pulmonary connection, TCPC). Artificial heart-lung machine used Jostra, Medos1000 membrane oxygenator, based on pre-charge pulse power solution for the Bo A, joined the plasma 300 ml, 25% human serum albumin 50 ml, methylprednisolone 100 mg, 5% bicarbo