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Common trunk or common artery malformation is one of the most rare congenital heart defects in clinical practice. However, this is a dangerous abnormality that needs to be treated early to reduce the risk of death for children.1. Common trunk artery defect
A common trunk artery is a congenital heart defect characterized by a common trunk between two arteries instead of two separate arteries exiting the heart. At the same time, the lack of heart septum for the 2 lower chambers should not be enough oxygen to supply blood to the body, affecting the circulatory system seriously, the typical clinical manifestation is cyanosis in children.This is a defect that needs to be treated as soon as possible because according to many studies, if congenital heart defects in children related to the common arterial trunk are not operated early, within the first year after birth, the rate Child mortality is very high.
Some risk factors for this condition include:
The mother has diseases related to viral infections during pregnancy such as: Rubella and some other diseases Gestational diabetes is difficult to control Taking medicine during Pregnancy Chromosomal disorders such as the disorder on chromosome 21 in Down syndrome .
2. Symptoms of common arterial malformation
The clinical signs that suggest a common vascular malformation in the child are:Cyanosis Poor feeding, poor feeding Drowsiness Poor growth and development Shortness of breath, tachypnea, shallow breathing Heart rhythm disturbances , irregular pulse Sweating Loss of consciousness in severe conditions.
Thân chung động mạch là một khuyết tật tim mạch bẩm sinh
3. Treatment of common arterial malformations
The method of treatment of the common arterial trunk in children is a combination of medical and surgical treatment, in which surgery plays a key role:3.1 Medical treatment Medical treatment for heart failure in children with Diuretics, ACE inhibitors and Digoxin to increase myocardial contractility in the pre-operative period.
3.2 Surgery Surgical treatment involves many different goals. One of them is surgery to correct the ventricular septal defect, which restores blood flow from the left ventricle to the common trunk artery.
Patching of ventricular septal defect is performed by bringing the duct with or without valve from the right ventricle to the common segment of the pulmonary artery to create a path. However, after the procedure, the patient may experience pulmonary artery stenosis, infective endocarditis...
To overcome infective endocarditis, the doctor needs to appoint a doctor. Preventive treatment of this condition before surgery and during the first 6 months after surgery.
Phương pháp điều trị thân chung động mạch ở trẻ em là kết hợp điều trị nội khoa và phẫu thuật
Treatment of common carotid artery disease has the ability to completely cure the disease if it is detected early and has an accurate treatment regimen at reputable medical facilities. Vinmec International General Hospital has a Cardiology Center with a specialist in pediatric cardiology that undertakes the functions of examination, ultrasound, diagnosis, monitoring, treatment and cardiac rehabilitation for pediatric patients.
The department has successfully conducted many heart surgeries including in children under 5kg and newborns with cardiovascular defects. Pediatric cardiology department of Vinmec hospital has a team of experienced experts, great reputation in the field of heart disease. medical treatment, surgery, cardiovascular intervention by applying many of the most advanced techniques today in the diagnosis and treatment of cardiovascular diseases.
Faculty has comprehensive cooperation links with Cardiology Institute of Bach Mai Hospital, Paris Descartes University of Georges Pompidou Hospital (France), University of Pennsylvania (USA)...
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