Caso 4/2020 – Tempo Prolongado (38 Dias) de Extravasamento Pleural Bilateral após Opera??o Cavopulmonar, Aliviado por Emboliza??o de Vasos Colaterais Sistêmico-Pulmonares, em Cardiopatia Complexa de Crian?a com 40 Meses

摘要

The fetal diagnosis of complex cardiac anomaly (Doubleoutlet right ventricle, severe pulmonary stenosis due to anterior deviation of the infundibular septum, trabecular interventricular septal defect and hypoplasia of the left ventricle and mitral valve) was confirmed shortly after birth with severe hypoxia, relieved by prostaglandin E1 administration and dilation of the ductus arteriosus by percutaneous stent. With the recurrence of more severe hypoxia, the bidirectional Glenn operation was performed at 9 months of age. Good patient evolution was observed up to 39 months, when total cavopulmonary (Fontan) operation was performed due to the recurrence of hypoxia with 70% oxygen saturation. The patient received propranolol and ASA up to the last intervention.