@article{Hazami_Putra_Hendrarto_2019, title={Pulmonary Vascular Obstructive Disease Prevention: A Case Report of Management Approach in CAVSD with Large PDA}, volume={68}, url={https://mki-ojs.idionline.org/jurnal/article/view/46}, DOI={10.47830/jinma-vol.68.8-2018-46}, abstractNote={<p><strong><em>Background: </em></strong><em>Complete atrioventricular septal defect (CAVSD) and large patent ductus arteriosus </em><em>(PDA) are considered as one of special conditionwhich need attention regarding its diagnosis </em><em>and management. When CAVSD and large PDA is concomitant, the management is different </em><em>from the simple case of CAVSD.</em></p> <p><strong><em>Objective: </em></strong><em>Early recognition and optimal management of CAVSD and large PDA in area with </em><em>limited medical facilities.</em></p> <p><strong><em>Methods: </em></strong><em>This study will be presented as a case report.</em></p> <p><strong><em>Case Illustration: </em></strong><em>A twenty-days-old female neonate was born with CAVSD and large PDA. The </em><em>baby was in the 37 weeks gestational age when she was born spontaneously with APGAR score</em></p> <p><em>8/9 and birth weight of 2890 g. Conservative approach was preferred as the patient was treated </em><em>with captopril 0.8 mg three times a day, spironolactone2mg twice a day and hydrochlorothiazide </em><em>1 mg twice a day to prevent heart failure.</em></p> <p><strong><em>Conclusion: </em></strong><em>Pre-ductal and post-ductal oximetry test measurement is a reliable approach to </em><em>screen patient with congenital heart disease which might be applied in medical center with </em><em>limited medical facilities. Moreover, regarding the management, it might be beneficial to conduct </em><em>early pulmonary artery banding.</em></p&gt;}, number={8}, journal={Journal Of The Indonesian Medical Association}, author={Hazami, Zakky and Putra, Bayushi Eka and Hendrarto, Toto Wisnu}, year={2019}, month={Sep.}, pages={378-381} }