Retnaningtyas, Lucia Pudyastuti and Rahman, Mahrus Abdur (2024) A Successful Of PDA Stenting In An Infant With Pulmonary Atresia – Intact Ventricular Septum: A Case Report. In: Kongres Nasional Ilmu Kesehatan Anak, September 29th - October 1st 2024, Semarang. (Unpublished)
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Abstract
Objective Pulmonary atresia (PA) with intact ventricular septum (IVS) is a rare and critical congenital heart diseases that needs immediate treatment. This case report describes on the course of diagnosis establishment and appropriate management in a newborn with pulmonary atresia. Case A baby boy was born spontaneously at 36 weeks gestation, with a birth weight of 2200 grams, with a good Apgar score. The baby moved and cried strongly, breathing normally, pre and post ductal oxygen saturation at the age of 5 minutes was 90 and 88% respectively. No nasal flare, chest retraction nor tachypnoea. The air entry of both lung field was normal, a murmur was obtained in ICS 2 left parasternal. Two hours after birth, the baby experienced cyanosis, was desaturated to 70% and dyspnoea. A hyperoxia test was carried but no improvement in cyanosis or saturation. A critical congenital heart disease was suspected. There was an oligemia lung, no cardiomegaly or cardiac shape abnormality from chest X-ray. From echocardiography, there were Pulmonary Atresia with Intact Ventricular Septum (PA-IVS), Patent Ductus Arteriosus (PDA), and Atrial Septal Defect (ASD). The baby received Prostaglandin E1 (PGE1) with a dose of 30ng/kgBW/minute. PDA stenting was performed by inguinal arterial catheterisation approach, then PGE1 was stopped and discharged with good condition. Discussion It is important to perform early detection of critical congenital heart defects in every newborn. Infants with Pulmonary atresia (PA) with intact ventricular septum (IVS) are dependent on alternative sources of pulmonary blood flow (PBF), most commonly a PDA. Although PGE1 can maintain patency of ductus arteriosus in the short term, most patients require a palliative procedure to ensure PBF until definitive surgery can be performed. PDA stenting is a less invasive method for palliative maintenance of PBF than the traditional surgical systemic-pulmonary shunt. PGE1 is not easy to get in this city, and this drug must be given by intravenous pump continuously. This case showed a successful of ductus arteriosus stenting in a month infant so that the baby no longer needed PGE1 and can discharged from hospital to wait corrective procedure. Conclusion Early detection of critical congenital heart disease and providing the appropriate drug in hospital greatly determine the success of managing pulmonary atresia case. Keyword: pulmonary atresia, cyanotic newborn, PDA stenting, Prostaglandin E1
| Item Type: | Conference or Workshop Item (Poster) |
|---|---|
| Uncontrolled Keywords: | pulmonary atresia, cyanotic newborn, PDA stenting, Prostaglandin E1 |
| Subjects: | R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
| Divisions: | Faculty of Medical > Medical Study Program |
| Depositing User: | LUCIA PUDYASTUTI RETNANINGTYAS |
| Date Deposited: | 06 Jan 2025 02:31 |
| Last Modified: | 15 Jan 2025 10:29 |
| URI: | http://repository.ubaya.ac.id/id/eprint/47594 |
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