Management of a Critical Case of Double Outlet Right Ventricle (DORV) and Cerebral Abscess by Multiple Interventions

  • Nurun Nahar Fatema Begum Head of the Department of Paediatrics ,CMH and AFMC, Dhaka
  • Ferdousur Rahman Sarker Paediatric Cardiologist and Child Specialist, CMH, Dhaka
  • Maksuda Begum Child Specialist, CMH Dhaka
  • Tamanna Yesmin Child Specialist, CMH, Dhaka
  • Billal Hossain Child Specialist, CMH, Rangpur
  • Jannatul Ferdous Child Specialist, CMH, Bogra
  • Jahangir Hossain Child Specialist, AFMI, Dhaka
  • Md Al Amin Salek Neurosurgeon, CMH, Dhaka
Keywords: Tetralogy of Fallot (TOF), Right Ventricular Outflow Tract (RVOT) Stenting, Cerebral abscess

Abstract

Tetralogy of Fallot (TOF) is the commonest type of cyanotic congenital heart disease which accounts for 10% of all congenital heart disease. Delay in surgical treatment leads to polycythaemia, cerebral abscess, thrombotic episodes etc. Corrective surgery in a case with cerebral abscess always has risk of intracranial hemorrhage during bypass1. We are hereby reporting a case of TOF who had multiple cerebral abscess managed with burr hole operation and extra ventricular drainage. Later 5 coronary stents were placed in Right Ventricular Outflow Tract (RVOT) to Main Pulmonary Artery (MPA) to overcome infundibular and valvular stenosis and thus reducing right to left shunt and cyanosis. This is the first ever palliation with RVOT stenting in a case of Double Outlet Right Ventricle (DORV), Ventricular Septal Defect (VSD), Pulmonary Stenosis (PS) with cerebral abscess where surgery was contraindicated at that time and patient condition was unstable. Later on she had bidirectional Glenn shunt on 8th December 2015 by Saudi charity team.

Journal of Armed Forces Medical College Bangladesh Vol.11(1) 2015: 81-84

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Author Biography

Nurun Nahar Fatema Begum, Head of the Department of Paediatrics ,CMH and AFMC, Dhaka


Published
2016-12-15
How to Cite
Begum, N. N., Sarker, F., Begum, M., Yesmin, T., Hossain, B., Ferdous, J., Hossain, J., & Salek, M. A. (2016). Management of a Critical Case of Double Outlet Right Ventricle (DORV) and Cerebral Abscess by Multiple Interventions. Journal of Armed Forces Medical College, Bangladesh, 11(1), 81-84. https://doi.org/10.3329/jafmc.v11i1.30679
Section
Case Reports