All issues > Volume 47(4); 2004

Case Report

Korean J Pediatr. 2004;47(4):462-464. Published online April 15, 2004.

Surgical Correction of Congenital Heart Disease In 18 Trisomy

Jinyoung JY Song¹, Yun Hee YH Moon², Ki Young KY Jang¹, Jae Young JY Lee¹, Soo Jin SJ Kim¹, Woo Seup WS Shim¹, Woong Han WH Kim³

¹Department of Pediatrics, Sejong General Hospital, Buncheon, Korea
²Department of Pediatrics, College of Medicine, Kyunghee University, Seoul, Korea
³Department of Thoracic Surgery, Seoul National University College of Medicine, Seoul, Korea

Correspondence Jinyoung JY Song ,Email: amyjys@hanmail.net

Abstract

18 trisomy(Edwards syndrome) is a fatal disease with a congenital heart anomaly. Patients usually receive less aggressive care because caregivers expect them to die very young. Although they have a very poor prognosis due to severe multi-organ dysfunction, symptomatic simple cardiac anomaly with left to right shunt can be repaired. We experienced a case of 18 trisomy with ventricular septal defect and patent ductus arteriosus. He showed prolonged dyspnea and tachypnea after the ligation of patent ductus arteriosus in a previous hospital. In our hospital, the ventricular septal defect was closed because his parents insisted on aggressive treatment. After surgery, the symptoms were relieved and he was discharged in a condition satisfactory to his parents and the medical team.

Keywords :Trisomy, Heart defect, Congenital