Ventricular Septal Defect Repair in a Patient with Hydrocephalus

Öz

Congenital heart diseases may be associated with different syndromes or anomalies. Congenital hydrocephalus is a rare disease that leads to increased intracranial pressure due to fluid accumulation through obstruction of intracranial aqueduct flow, Arnold Chiari and Dandy–Walker malformations, or abnormally increased fluid production into intracerebral ventricles. Increased intracranial pressure may produce many problems during the anaesthesia for any operation. Moreover, the postoperative period may be complicated by hydrocephalus. In severe cases, shunt replacement may be necessary. The case reported here is a 10-month-old infant with ventricular septal defect repair diagnosed with hydrocephalus and postoperative early follow-up findings.

Anahtar Kelimeler

• Ventricular septal defect
• hydrocephalus
• congenital heart disease

Kaynakça

1. Garne E, Loane M, Addor MC, Boyd PA, Barisic I, Dolk H. Congenital hydrocephalus prevalence, prenatal diagnosis and outcome of pregnancy in four European regions. European Journal of Paediatric Neurology. 2010;14(2):150–5. google scholar
2. Mai CT, Isenburg JL, Canfield MA, Meyer RE, Correa A, Alverson CJ, et al. National population-based estimates for major birth defects, 2010–2014. Birth Defects Res. 2019;111(18):1420–35. google scholar
3. Crawford TS, Olivero WC, Hanigan WC. The prognosis of children with hydrocephalus and congenital heart disease. Pediatr Neurosurg. 2000;33(1):12-5. google scholar
4. Koo H; Chi J G. Congenital hydrocephalus. J Koreen Med Sci. 1991;6(9):287-98. google scholar
5. Kohli J, Gupta A, Kerai S, Mosalpuria Y. Ventriculoperitonial shunt surgery in a neonate with atrial septal defect, ventricular septal defect, patent ductus arteriosus, MILD PS, and bicuspid aortic valve. Karnataka Anaesth J. 2015;1(3):146. google scholar
6. Kumar R, Kumar K, Devendra B, Chhabra K. Occurrence of Split Cord Malformation in Meningomyelocele: Complex Spina bifida. Pediatr Neurosurg. 2002;36(3):119-27 google scholar
7. Henningfeld J, Loomba RS, Encalada S, Magner K, Pfister J, Matthews A, et al. Pleural effusion in a child with a ventriculoperitoneal shunt and congenital heart disease. Springerplus. 2016 Jan 27;5(1):90. google scholar
8. Singh M, Bindra A, Rath G P, Malik V, Prabhakar H. Ventriculoperitoneal shunt surgery in an infant with double aortic arch, patent ductus arteriosus and atrial septal defect. MEJ Anesth. 2009;20(2):309-12. google scholar

9. Martínez-Lage JF, López-Guerrero AL, Piqueras C, Almagro MJ, Gilabert A. Intracranial hemorrhage following surgery for occult spinal dysraphism: a case-based update. Child’s Nervous System. 2015;31(6):837–42. google scholar