Despite a very difficult postoperative evolution with multiple respiratory arrests, venous hypertension was in no time resolved with a pharmacological approach. Postoperatively, transvenous central venous catheter was an essential method for hemodynamic monitoring in the intensive care unit. The initial two stages of palliation included the Norwood operation followed by hybrid stage II. Herein we report the case of a 6-yr-old boy with truncus arteriosus and hypoplastic left heart syndrome, undergoing one of the first stage cardiac reconstructive surgery as a neonate. The performance of cardiopulmonary bypass in children with truncus arteriosus and a pulmonary circulation associated to hypoplastic left heart syndrome represents a great challenge to the anesthesiologist. Treatment of central venous catheter dysfunction in a child with hypoplastic left heart syndrome and truncus arteriosus.Ĭatheter dysfunction is a frequent problem in pediatrics, often requiring difficult clinical situations.
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