Clinical Procedure
 
Aliases:
Truncas arteriosus repair

Topic aliases are alternate phrasings for a particular topic.


See also considerations for paediatric cardiac-surgery, pediatric cardiopulmonary-bypass, and patient with truncus arteriosus

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If placing a central venous-line consider that the patient usually has a VSD, and if the tip of the line traverses the VSD it may look like arterial blood.
If this is the case the line may need to be withdrawn back into the RA/SVC junction.

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Ventricular and atrial pressures will usually be measured by direct needling at the end of the repair to ensure the repair is physiological before disconnecting bypass cannulae.
If further repair is required or a RV-PA conduit is to be placed, bypass will be recommenced.

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Avoid overventilation to maintain a high normal pCO2 and pulmonary vascular-resistance to maintain a high normal coronary perfusion-pressure

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Haemodynamic goal is to maintain a normal coronary perfusion-pressure by maintaining a high normal systemic vascular-resistance and high normal pulmonary vascular-resistance.

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Be aware of hypocalcemia in this patient group in which hypoparathyroidism as a component of digeorge syndrome is frequently present.

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