Unforeseen turn of events in a toddler with a hypoxic spell and its successful management

Cyanotic spells can oftentimes be refractory to medical stabilization and necessitate emergency palliative procedures. One such situation that we came across was managed with right ventricular outflow tract stenting. This was complicated by stent dislodgement, successful retrieval, and re-stenting....

Full description

Saved in:
Bibliographic Details
Published inProgress in pediatric cardiology Vol. 75; p. 101748
Main Authors Selvam, Nisanth, Sasikumar, Navaneetha, Kumar, Raman Krishna
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.12.2024
Subjects
Cyanotic spells
RVOT stenting
Takatsubo cardiomyopathy
Tetrology of Fallot
Takatsubo cardiomyopathy
RVOT stenting
Cyanotic spells
TOF
LV
PDA
BTTS
Tetrology of Fallot
RVOT
TS
Online AccessGet full text

Cover

More Information
Summary:Cyanotic spells can oftentimes be refractory to medical stabilization and necessitate emergency palliative procedures. One such situation that we came across was managed with right ventricular outflow tract stenting. This was complicated by stent dislodgement, successful retrieval, and re-stenting. While recovering in the intensive care unit, there was sudden hemodynamic instability, which was later attributed to Takatsubo Syndrome. Continued vigilance of such children in the immediate post procedural period is of utmost importance as certain unforeseen events such as Takatsubo Syndrome may occur. •Hypoxic spells are challenging to manage despite advances in medical, interventional and surgical management.•Palliated patients need to be under close monitoring and early intra-cardiac repair should be considered.•Immediate post procedure period in critical ill cyanotic patients, can be unpredictable and needs continued vigilance.
ISSN:1058-9813
DOI:10.1016/j.ppedcard.2024.101748