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- Title
Successful Use of Angiotensin Receptor-Neprilysin Inhibitor along with Intravenous Inotropes, in a Postcardiac Surgery Child with an Anomalous Left Coronary Artery from the Pulmonary Artery Repair.
- Authors
Rajeev, Meera; Sahu, Manoj Kumar; Singh, Ummed; Singh, Sarvesh Pal; Satsanghi, Amitabh; Talwar, Sachin
- Abstract
Treating heart failure (HF) in postoperative congenital cardiac repair in children with an anomalous left coronary artery from the pulmonary artery (ALCAPA) is a daunting task. Regular anti-failure measures with angiotensin-converting enzyme (ACE) inhibitors may become inadequate or resistant in certain situations. Angiotensin receptor-neprilysin inhibitor (ARNI) in place of ACE inhibitors can be an alternative to help these postcardiac surgical children convalesce better. Sacubitril/valsartan is an ARNI-approved treatment for HF in adults, and in pediatric HF patients, it is showing promising benefits. However, in postcardiac surgical children with HF, its effects are not known. We used ARNI successfully in one of our postcardiac surgical infants with ALCAPA repair in HF, and we describe this case here.
- Subjects
HEART failure treatment; CORONARY arteries; CARDIAC surgery; ENTRESTO; CHILD patients
- Publication
Journal of the Practice of Cardiovascular Sciences, 2023, Vol 9, Issue 3, p206
- ISSN
2395-5414
- Publication type
Article
- DOI
10.4103/jpcs.jpcs_61_23