Korean J Pediatr.  2004 Apr;47(4):462-464.

Surgical Correction of Congenital Heart Disease In 18 Trisomy

Affiliations
  • 1Department of Pediatrics, Sejong General Hospital, Buncheon, Korea. amyjys@hanmail.net
  • 2Department of Pediatrics, College of Medicine, Kyunghee University, Seoul, Korea.
  • 3Department of Thoracic Surgery, Seoul National University College of Medicine, Seoul, Korea.

Abstract

18 trisomy(Edwards syndrome) is a fatal disease with a congenital heart anomaly. Patients usually receive less aggressive care because caregivers expect them to die very young. Although they have a very poor prognosis due to severe multi-organ dysfunction, symptomatic simple cardiac anomaly with left to right shunt can be repaired. We experienced a case of 18 trisomy with ventricular septal defect and patent ductus arteriosus. He showed prolonged dyspnea and tachypnea after the ligation of patent ductus arteriosus in a previous hospital. In our hospital, the ventricular septal defect was closed because his parents insisted on aggressive treatment. After surgery, the symptoms were relieved and he was discharged in a condition satisfactory to his parents and the medical team.

Keyword

Trisomy; Heart defect; Congenital

MeSH Terms

Caregivers
Ductus Arteriosus, Patent
Dyspnea
Heart
Heart Defects, Congenital*
Heart Septal Defects, Ventricular
Humans
Ligation
Parents
Prognosis
Tachypnea
Trisomy*
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