Successful Total Management of Multi-Causative Sleep-Disordered Breathing Complicated with Patient with Adult Congenital Heart Disease
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- Suenaga Tomoyasu
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University
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- Ishikita Ayako
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University
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- Sakamoto Ichiro
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University
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- Nishizaka Mari
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University Department of Cardiovascular Medicine, Yagi Kouseikai, Yagi Hospital
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- Nishizaki Akiko
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University
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- Umemoto Shintaro
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University
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- Nagata Hazumu
- Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University
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- Yamamura Kenichiro
- Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University
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- Sonoda Hiromichi
- Department of Cardiovascular Surgery, Graduate School of Medical Sciences, Kyushu University
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- Yoshida Hiroko
- Sleep Apnea Center, Kyushu University Hospital
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- Ando Shin-Ichi
- Sleep Apnea Center, Kyushu University Hospital
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- Shiose Akira
- Department of Cardiovascular Surgery, Graduate School of Medical Sciences, Kyushu University
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- Tsutsui Hiroyuki
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University
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Description
<p>Sleep-disordered breathing is one of the complications commonly seen in patients with adult congenital heart disease (ACHD) due to multiple causes including complex underlying cardiac defects, cardiomegaly, previous thoracotomies, obesity, scoliosis, and paralysis of the diaphragm. It is often hard to determine its main cause and predict the efficacy of each treatment in its management. We herein report a 30-year-old woman after biventricular repair of pulmonary atresia with intact ventricular septum diagnosed as sleep-related hypoventilation disorder. Simultaneous treatment targeting obesity, paralysis of the diaphragm, and cardiomegaly followed by respiratory muscle reinforcement through non-invasive ventilation resolved her sleep-related hypoventilation disorder. Such management for each factor responsible for the hypoventilation is expected to provide synergetic therapeutic efficacy and increase daily activity in a patient with ACHD.</p>
Journal
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- International Heart Journal
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International Heart Journal 63 (5), 978-983, 2022-09-30
International Heart Journal Association
