Key result
Pericardial drain placement after an arterial switch operation caused myocardial ischemia in a 5-week-old child, which resolved upon withdrawal of the drain to the retrosternal space.
Why the study?
Postarterial switch myocardial ischemia is almost exclusively ascribed to coronary translocation issues, with few reports describing ischemia caused by pericardial drain placement, particularly in pediatric patients.
Case Report (n=1)
Pericardial drain placement after an arterial switch operation can cause reversible myocardial ischemia, highlighting a rare but important complication in pediatric patients.
Answers are grounded in this paper and cite their sources.
Warrants vigilance for drain-related ischemia in neonates post-arterial switch; case reports leave open incidence and prevention strategies.
Myocardial ischemia postarterial switch operation has been reported extensively in the literature and has been almost exclusively ascribed to issues related to coronary artery translocation. Here, we report a case of a 5-week-old child with D-transposition of the great arteries who underwent an arterial switch operation and developed myocardial ischemia after pericardial drain placement, as evidenced by significant ST segment elevation and abnormal regional cardiac wall motion. The ST segment and cardiac wall motion improved once the drain was withdrawn from the pericardium and placed in the retrosternal space. Few reports in the literature describe this complication, particularly in pediatric patients.
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Bhat et al. (2018) conducted a case report in D-transposition of the great arteries (n=1). Pericardial drain placement was evaluated on Myocardial ischemia (ST segment elevation and abnormal regional cardiac wall motion). Pericardial drain placement after an arterial switch operation caused myocardial ischemia in a 5-week-old child, which resolved upon withdrawal of the drain to the retrosternal space.
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