Background. Down syndrome (trisomy 21) is frequently associated with multiple congenital anomalies. About 40% of all cases of Down syndrome are associated with congenital heart disease; including atrio-ventricular canals and ventricular septal defect (VSD) being the most common reported lesions. This report describes a 4-month-old baby who received VSD repair and was found to have associated congenital tracheal stenosis. Methods and Results. A 4-month-old male baby with Down syndrome had a large type II VSD and pulmonary hypertension. After patch repair of VSD, pulmonary hypertension still persisted and patient was unable to be weaned from respirator. Tracheal stenosis was suspected and subsequently proved by bronchogram and bronchoscopy. The patient received slide tracheoplasty operation for tracheal reconstruction. Pulmonary artery pressure returned to normal after the operation and patient was smoothly weaned from respirator. Conclusion. This report presents an unusual combination of VSD and tracheal stenosis in a Down syndrome baby. In dealing with congenital anomalies in a Down syndrome patient, careful evaluation of other associated congenital malformations should be considered in order to obtain a satisfactory result.
|Number of pages||6|
|Journal||Acta Cardiologica Sinica|
|Publication status||Published - 1998 Jan 1|
All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine