Total Anomalous of Pulmonary Venous Connection- A Case Report

Abstract

Introduction: Among Cyanotic cardiac diseases, Total Anomalous Pulmonary Venous Connection is the only condition involving venous system malformation. Total Anomalous Pulmonary Venous Connection is a rare congenital anomaly in which all 4 pulmonary veins have no direct communication with the left atrium. Background: Almost one in a hundred newborn babies worldwide is affected by congenital heart disease. TAPVC is approximately 7-9 per 100,000 live births and it accounts for about 0.7- 1.5% of all congenital heart diseases. Congenital cardiac defects are the most common congenital anomalies in live births as well as the main cause of childhood Motability and Morbidity in the developed nations. Presentation of Case: A 5-month-old male child was admitted to ‘Sri Satya Sai Sanjeevani Hospital, Naya Raipur, Chhattisgarh, India’ on date 1 February 2021 with complaints of excessive sweating on the head while feeding, Tachypnoea, cyanosis and Lower Respiratory Tract infection. The child was diagnosed at 2 months of age and the child was brought to Sri Satya Sai Hospital for surgical management of TAPVC. Interventions:  The treatment of patients was started immediately after admission. The surgical repair of obstructive mixed TAPV and PDA ligation was done under general anesthesia on date 02 February 2021. Conclusion: In this report, we mainly focus on expert surgical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.