Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopy

Marked aneurysmal dilation of the central and branch pulmonary arteries in utero in patients with tetralogy of Fallot with absent pulmonary valve can often exhibit extrinsic compression of the trachea and bronchi. The major morbidity in these patients remains postoperative ventilation issues. This c...

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Bibliographic Details
Published in:Annals of cardiac anaesthesia 2021-07, Vol.24 (3), p.396-398
Main Authors: Maddali, Madan, Al-Kindi, Hamood, Kandachar, Pranav, Abolwafa, Amr, Ahmed, Ahmed
Format: Article
Language:English
Subjects:
airway management
Bronchoscopy
Cardiovascular disease
Case Report
Congenital diseases
Congenital heart disease
Equipment and supplies
Fiber optics
Genetic disorders
infant pulmonary valve insufficiency
Pulmonary arteries
tetralogy of fallot
Valves
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Summary:Marked aneurysmal dilation of the central and branch pulmonary arteries in utero in patients with tetralogy of Fallot with absent pulmonary valve can often exhibit extrinsic compression of the trachea and bronchi. The major morbidity in these patients remains postoperative ventilation issues. This case report highlights the role of intraoperative bronchoscopy in providing guidance for obtaining optimal bronchial decompression that was achieved by an initial pulmonary arteriopexy followed by an aortopexy.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.ACA_203_20