Volume 27, Issue 131, January 2023

The results of early physiotherapy on a child with partial anomalous pulmonary venous connection along with atrial and ventricular septal defect: A case report

Anushka Raipure^1♦, Vishnu Vardhan², Vishakha Tayade³

¹Intern BPT, Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Maharashtra, India
²Professor & HOD, Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Maharashtra, India
³Resident, Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Maharashtra, India

^♦Corresponding author
Intern BPT, Department of Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Maharashtra, India
ORCID: https://orcid.org/0000-0002-4759-1579

ABSTRACT

When the embryologic pulmonary venous system fails to connect with the left atrium, partial anomalous pulmonary venous connection (PAPVC), a rare congenital disorder, develops. Some pulmonary veins, but not all of them, empty in the right atrium. Atrial septal defects (ASDs), the second most prevalent congenital heart defect, are estimated to impact 2.6 out of every 1,000 live babies globally. The most frequent congenital heart defect is a ventricular septal defect (VSD), which usually coexists with other congenital abnormalities and can develop spontaneously or with mutations in the TBX5 and GATA4 genes. Following paediatric heart surgery, pain can worsen if it is not treated correctly due to patient manipulation, coughing, etc. Increased discomfort may be related to hypoxia, shallow breathing and hemodynamic responses (rapid rises in blood pressure and heart rate) (low SpO2). We describe a 2-year-old female patient who underwent PAPVC surgery, ventricular and atrial septal defect closure. This case report seeks to give readers a better understanding of cardio pulmonary rehabilitation for paediatric patients who have undergone ASD, VSD or PAPVC surgery. According to the WHO manifesto for children, every child is entitled to proper and uninterrupted physiological and intellectual development. Avoiding negative effects and reducing or eliminating disease-related disabilities, deformities and handicaps are the fundamental objectives of rehabilitation strategies. This case serves as an example of the importance and value of rapid physical rehabilitation following surgery. The patient's multidisciplinary rehabilitation plan will increase our understanding of the benefits of physical therapy for these patients.

Keywords: Atrial septal defect, Partial anomalous pulmonary venous connection, Cardio pulmonary rehabilitation, Ventricular septal defect, Physiotherapy, Congenital heart disease

Medical Science, 2023, 27, e70ms2730

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DOI: https://doi.org/10.54905/disssi/v27i131/e70ms2730

Published: 31 January 2023