Open AccessEmergency laparotomy for necrotising enterocolitis in a newborn with hypoplastic left heart syndrome
Author(s) -
Lulu Sherif,
Prithi Jain,
Kishan Shetty,
Sharan Badiger
Publication year - 2013
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.118562
Subject(s) - medicine , hypoplastic left heart syndrome , necrotizing enterocolitis , laparotomy , heart disease , pediatrics , gestational age , perioperative , population , cardiac surgery , low birth weight , surgery , intensive care medicine , cardiology , pregnancy , environmental health , biology , genetics
Necrotising enterocolitis (NEC) and congenital heart disease are two distinct disease processes, but they appear to be inter-related, particularly in patients with the congenital heart condition known as hypoplastic left heart syndrome (HLHS). Both NEC and HLHS are causes of significant morbidity and mortality in the neonatal population. As medical and surgical advances allow for the palliation and correction of complex heart lesions at an earlier gestational age and lower birth weight, the already high-risk of NEC in this population is likely to increase. In this article, we report a case of a neonate with unpalliated HLHS who underwent emergency laparotomy for NEC. We also discuss the pathophysiology of these two diseases and the perioperative care of this rare group of patients.