Pulmonary Vascular Obstructive Disease Prevention: A Case Report of Management Approach in CAVSD with Large PDA

Zakky Hazami; Bayushi Eka Putra; Toto Wisnu  Hendrarto

doi:10.47830/jinma-vol.68.8-2018-46

Zakky Hazami Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, National Cardiovascular Centre Harapan Kita
Bayushi Eka Putra Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, National Cardiovascular Centre Harapan Kita, Jakarta
Toto Wisnu Hendrarto Department of Pediatric, Women and Children Hospital Harapan Kita, Jakarta

DOI: https://doi.org/10.47830/jinma-vol.68.8-2018-46

Keywords: AVSD, CAVSD, Management, PDA, Surgical repair

Abstract

Background: Complete atrioventricular septal defect (CAVSD) and large patent ductus arteriosus (PDA) are considered as one of special conditionwhich need attention regarding its diagnosis and management. When CAVSD and large PDA is concomitant, the management is different from the simple case of CAVSD.

Objective: Early recognition and optimal management of CAVSD and large PDA in area with limited medical facilities.

Methods: This study will be presented as a case report.

Case Illustration: A twenty-days-old female neonate was born with CAVSD and large PDA. The baby was in the 37 weeks gestational age when she was born spontaneously with APGAR score 8/9 and birth weight of 2890 g. Conservative approach was preferred as the patient was treated with captopril 0.8 mg three times a day, spironolactone 2mg twice a day and hydrochlorothiazide 1 mg twice a day to prevent heart failure.

Conclusion: Pre-ductal and post-ductal oximetry test measurement is a reliable approach to screen patient with congenital heart disease which might be applied in medical center with limited medical facilities. Moreover, regarding the management, it might be beneficial to conduct early pulmonary artery banding.

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