Key result
Cardiopulmonary bypass for atrial septal defect correction in a child with congenital hyperinsulinemia involves specific techniques to ameliorate hypoglycemia-related complications.
Describes the management and outcomes of a child with congenital hyperinsulinism undergoing cardiopulmonary bypass for atrial septal defect correction.
May inform glucose management strategies during CPB in congenital hyperinsulinism; leaves open prospective validation in larger pediatric cohorts.
Congenital hyperinsulinism is a clinical syndrome of pancreatic β-cell dysfunction characterized by failure to suppress insulin secretion in the presence of hypoglycemia. Here, we describe the concerns, the techniques used to ameliorate these potential problems, and the outcomes for a child with this condition undergoing cardiopulmonary bypass for correction of an atrial septal defect.
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Crook et al. (2018) studied this question. Cardiopulmonary bypass for atrial septal defect correction in a child with congenital hyperinsulinemia involves specific techniques to ameliorate hypoglycemia-related complications.
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