Management of congenital diaphragmatic hernia with transposition of the great arteries

被引：2

作者：

Nagata, Hazumu ^{[1
]}

Yamamura, Kenichiro ^{[1
]}

Nagata, Kouji ^{[2
]}

Uike, Kiyoshi ^{[1
]}

Morihana, Eiji ^{[1
]}

Ihara, Kenji ^{[1
]}

Yumoto, Yasuo ^{[3
]}

Fusazaki, Naoki ^{[4
]}

Kado, Hideaki ^{[5
]}

Kato, Kiyoko ^{[3
]}

Taguchi, Tomoaki ^{[2
]}

Hara, Toshiro ^{[1
]}

机构：

[1] Kyushu Univ, Grad Sch Med Sci, Dept Pediat, Fukuoka, Japan

[2] Kyushu Univ, Grad Sch Med Sci, Dept Pediat Surg, Fukuoka, Japan

[3] Kyushu Univ, Grad Sch Med Sci, Dept Obstet & Gynecol, Fukuoka, Japan

[4] Fukuoka Childrens Hosp, Dept Neonatal Cardiol, Med Ctr, Fukuoka, Japan

[5] Fukuoka Childrens Hosp, Dept Cardiovasc Surg, Med Ctr, Fukuoka, Japan

来源：

PEDIATRICS INTERNATIONAL | 2016年 / 58卷 / 06期

关键词：

congenital diaphragmatic hernia; extracorporeal oxygenation; persistent pulmonary hypertension of the neonate; pulmonary hypoplasia; transposition of the great arteries and intact ventricular septum;

D O I：

10.1111/ped.12912

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Congenital diaphragmatic hernia (CDH) is a relatively rare malformation, but it has a high mortality rate. Its association with congenital heart disease lowers survival rate due to severe acidosis and desaturation caused by persistent pulmonary hypertension of the neonate. We describe herein a case of CDH with transposition of the great arteries and intact ventricular septum, in a patient who was prenatally diagnosed, managed with extracorporeal oxygenation (ECMO) support and successfully treated with both CDH repair and Jatene procedure, with no respiratory or circulatory sequelae. In conclusion, precise prenatal estimation is essential, and ECMO is a useful therapeutic option in these complex cases.

引用

页码：516 / 518

页数：3

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