• Truncus arteriosus
• Diaphoresis
• Tachypnea
• Cyanosis
• Congestive heart failure
RISK ASSESSMENT
• Angiography
• Blood tests
• Urine tests
• Chest X-ray
• ECG
• 2D-Echo
• CTscan
• MRI
• Multiplane transesophageal echocardiography (TEE)
• Two-dimensional transthoracic echocardiography (TTE)
• Cardiac catheterization
• Nothing is taken by mouth 6hrs before surgery
• Antibiotics were given
• PGE1 was discontinued.
ANESTHESIA:
General
THE PROCEDURE
PREPARATION
• The room was cooled as much as possible to start surface
cooling.
• The patient was kept on minimal oxygen (usually room air) and
maintained on relative hypoventilation.
• Aprotinin, solumedrol (30 mg/kg), Regitine (0.1 mg/kg), and
prophylactic antibiotics were administered.
• Standard median sternotomy, harvesting of pericardium and
fixation in glutaraldehyde, and heparinization were performed.
• The right pulmonary artery was dissected free on the right side
of the aorta, and a silk snare placed around it.
• The aorta was cannulated high, well above the bifurcation of the
truncus
• The venous cannula was placed through the right atrial
appendage.
• Cardiopulmonary bypass was started, and the patient cooled to
18 - 20 C over a period of 20 minutes.
• The left and right pulmonary arteries were completely mobilized
past the takeoff of their first branches, and were snared and
occluded.
• After aortic cross clamping and administration of cardioplegia,
the pulmonary artery snares were removed.
REPAIR
DURATION
_____________hrs
AFTER PROCEDURE
POSTOPERATIVE CARE
COMPLICATIONS
• Infection
• Endocarditis
• Congestive heart failure
• Lack of oxygen
• Too much carbon dioxide in the blood
• Irregular heartbeat
• Stroke
• Kidney damage
• Lung blood clot
• Hemorrhage
• Cardiac arrest