Case Report on Transposition of the Great Arteries With Septal Defect

Abstract

Transposition of the great arteries is a significant but uncommon cardiac abnormality in which the two main arteries leaving the heart are reversed at birth (congenital) (transposed). Dextrin transposition of the major arteries is another name for the disorder. TGA (complete transposition of the great arteries) is a congenital heart abnormality characterised by atrioventricular concordance and ventriculoarterial (VA) discordance. The male to female ratio is 1.5 to 3.2:1 and the incidence is predicted to be 1 in 3,5005,000 live births. Most babies' congenital cardiac abnormalities, such as d-TGA, have unknown causes. Because of mutations in their genes or chromosomes, some kids are born with congenital cardiac abnormalities. Heart defects may also be caused by a mix of genes and other risk factors, such as what the mother comes into touch with in her environment, what she eats or drinks, or certain drugs she takes. This condition can be detected during pregnancy or shortly after birth. One or more tests may be requested  by the health care practitioner to confirm the diagnosis. An echocardiography is the most usual test. An echocardiography is an ultrasound of the heart that can reveal structural issues with the heart, such as incorrect alignment of the two major arteries and irregular  blood flow.An electrocardiogram (ECG), which analyses the electrical activity of the heart, as well as chest xrays and other medical procedures, may be used to confirm the diagnosis.      

MAIN SYMPTOMS AND IMPORTANT CLINICAL FINDING : Fever since with 5days, redness of eye since in 3hours , facial puffiness since in 5day , and high grade fever since in 6days. Shortness of breath since in 4hours.

DIAGNOSIS EVALUATION: She is a 9 year old female child patient  and all daily routine diagnosis test  are done like a total blood count -12. 1 gm/dl

UG OF NECK,  2D echo report of paediatric, echo cardiogram and colour  dropped , chest x-ray and electro cardiography. Also be a done.

THERAPEUTIC INTERVENTIONS: Patient was treated inj Piptaz 2mg a(tds)., inj amikacin 250mg(OD), inj lasix 8mg(BD), -syp eptoin 7ml(BD), syp PCM 10Ml(TDS), tab pan 20mg(OD), tab emset 2 mg (TDS) , tab folic acid 5mg(OD) ,

OUTCOME: Patient general condition was improve and patient is stable.

Nursing  perspectives  -Administered  fluid  replacement  i.e.  DNS and RL.  Monitor vital signs and check blood pressure per hourly.  Maintained  intake  and  output  chart  and  provided Adequate  rest and sleep  to the patient.  Administered  medications  according to doctor’s order.

CONCLUTION:--patient admitted in A. V. B. R. H on dated 26/5/21 with chief complaint of  fever since 5day , redness  of eye since in 3hours , facial puffiness since in 5day, shortness of breath. This symptoms reduce with proper treatment and patient  condition is good.