Pulmonary valve atresia with intact ventricular septum: A case report

Authors

DOI:

https://doi.org/10.33448/rsd-v13i2.45019

Keywords:

Developmental disabilities; Heart defects; Physical therapy.

Abstract

Objective: To evaluate the neurodevelopmental progress of a child clinically diagnosed with pulmonary valve atresia at the physiotherapy clinic of the State University of Paraiba (UEPB), using the Alberta Infant Motor Scale (AIMS). Method: This is a descriptive case report with a quantitative and cross-sectional approach, conducted at a Physiotherapy School Clinic. The aim was to evaluate a child clinically diagnosed with pulmonary valve atresia and complete interventricular septal defect, who was referred for physiotherapy treatment. The assessment tools used included a sociodemographic evaluation form and the AIMS. This study was approved by the UEPB Research Ethics Committee - CAAE: 74237223.1.0000.5187. Results: A 7-month-old female infant, born at full term and appropriate for gestational age, was identified. The clinical diagnosis was made soon after birth, and the infant underwent thoracic surgery to correct the malformation. The child exhibited growth retardation, as evidenced by low weight and height measurements for her age group. The AIMS results revealed significant deficits in motor development, particularly in head control, rotation, prone posture, and locomotion.  Conclusion: This case highlights the importance of physiotherapy assessment and intervention in children with pulmonary valve atresia. The use of evaluative instruments allowed for the identification of the child's motor difficulties and the development of a specific treatment plan. Future studies are warranted to investigate more effective therapeutic approaches to improve respiratory function and motor development.

References

American Heart Association. (2019). Pulmonary Atresia. https://www.heart.org/

Camargos, A. C .R., Leite, H. R., Morais, R. L. S., & Lima, V. P. F. (2019). Fisioterapia em Pediatria: da evidência à prática clínica. Rio de Janeiro: Medbook.

Dornelas, L. F., Duarte, N. M. C., & Magalhães, L. C. (2015). Atraso do desenvolvimento neuropsicomotor: mapa conceitual, definições, usos e limitações do termo. Revista Paulista de Pediatria, 33, 88-103.

Daubeney, P. E., Delany, D. J., Anderson, R. H., Sandor, G. G., Slavik, Z., Keeton, B. R., ... Webber, S. A. (2002). Pulmonary atresia with intact ventricular septum: range of morphology in a population-based study. Journal of the American College of Cardiology, 39(10), 1670-1679.

Daubeney, P .E., Wang, D., Delany, D. J., Keeton, B. R., Anderson, R. H., Slavik, Z., ... Webber, S .A. (2005). Pulmonary atresia with intact ventricular septum: predictors of early and medium-term outcome in a population-based study. Journal of Thoracic and Cardiovascular Surgery, 130(4), 1071.

Eliks, M., & Gajewska, E. (2022). The Alberta Infant Motor Scale: A tool for the assessment of motor aspects of neurodevelopment in infancy and early childhood. Frontiers in Neurology, 13, 927502.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Guyton, A. C., & Hall, J. E. (2017). Tratado de Fisiologia Médica (13ª ed.). Elsevier.

Institute For Family-Centered Care. (2008). Partnering with patients and families to design a patient-and family-centered health care system: recommendations and promising practices.

Hernández, T. C. (2017). Atresia pulmonar con comunicación interventricular. Cirugia Cardiovascular.

Kaskinen, A. K., Happonen, J.-M., Mattila, I. P., & Pitkänen, O. M. (2016). Long-term outcome after treatment of pulmonary atresia with ventricular septal defect: nationwide study of 109 patients born in 1970–2007. European Journal of Cardio-Thoracic Surgery, 49(5), 1411–1418.

Kepenek-Varol, B., Hoşbay, Z., Varol, S., & Torun, E. (2020). Assessment of motor development using the Alberta Infant Motor Scale in full-term infants. Turkish Journal of Pediatrics, 62(1), 94-102. https://pubmed.ncbi.nlm.nih.gov/32253872/

Leal Moreira, J., Mota Tiago Andri ghetto, S. S., Martimbianco de Figueiredo, C .S., da Cruz Montes Moura, A .J., & Hiromi Nakashita, S. (2020). Atresia valvar pulmonar com comunicação interventricular. Perspectivas Experimentais e Clínicas, Inovações Biomédicas e Educação em Saúde (PECIBES), 6(2), 20-24.

Luz, G .S., Silva, M. R. S., & DeMontigny, F. (2015). Doenças raras: itinerário diagnóstico e terapêutico das famílias de pessoas afetadas. Acta Paulista de Enfermagem, 28, 395-400.

Miyague, N. I., Cardoso, S. M., Meyer, F., Ultramari, F. T., Araújo, F. H., Rozkowisk, I., & Toschi, A. P. (2003). Estudo epidemiológico de cardiopatias congênitas na infância e adolescência. Análise em 4.538 casos. Arquivos Brasileiros de Cardiologia, 80(3), 269-273.

Merchán-Haman, E. & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiol. Serv. Saúde. 30(1). DOI: https://doi.org/10.1590/s1679-49742021000100026.

Montalti, E. (2023). Doenças raras atingem 13 milhões de brasileiros. Hospital de Clínicas UNICAMP, São Paulo. Retrieved from: https://hc.unicamp.br/newsite_noticia_420_doencas-raras-atingem-13-milhoes-brasileiros/

Moreira, T. (2023). Pessoas com doenças raras terão assistência ampliada no Estado. Secretaria da Saúde do Rio Grande do Sul. Retrieved from https://www.estado.rs.gov.br/pessoas-com-doencas-raras-terao-assistencia-ampliada-no-estado/

Organização Mundial de Saúde. (2011). Classificação Internacional de Funcionalidade, Incapacidade e Saúde, versão Crianças e Jovens (CIF-CJ). EdUSP: Universidade de São Paulo.

Organização Mundial de Saúde. (2020). Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). EdUSP: Universidade de São Paulo.

Paul Yejong Yoo, Ebele R .I. Mogo, Janet McCabe, Melanie Bergthorson, Rose Elekanachi, Roberta Cardoso, Mehrnoosh Movahed, Annette Majnemer, & Keiko Shikako (2022). The Effect of Context-Based Interventions at the Systems-Level on Participation of Children with Disabilities: A Systematic Review. Physical & Occupational Therapy In Pediatrics, 42(5), 542-565.

Piper, M. C., & Darrah, J. (1994). Motor assessment of the developing infant. Philadelphia: W.B. Saunders Company. https://www.scirp.org/reference/referencespapers?referenceid=1370358

Rodríguez, V. A. (2018). Cardiopatías congénitas en edad pediátrica, aspectos clínicos y epidemiológicos. Revista Médica Electrónica, 40(4), 1083-1099.

Sana, M. K., & Ahmed, Z. (2023). Pulmonary Atresia With Ventricular Septal Defect. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. (2. ed.). Editora da UFRGS

Tzifa, A., Barker, C., Tibby, S. M., et al. (2007). Prenatal diagnosis of pulmonary atresia: impact on clinical presentation and early outcome. Archives of Disease in Childhood - Fetal and Neonatal Edition, 92, F199-F203.

Valentini, N. C., & Saccani, R. (2011). Escala Motora Infantil de Alberta: validação para uma população gaúcha. Revista Paulista de Pediatria, 29(2), 231-238.

Published

12/02/2024

How to Cite

FARIAS, K. S. .; COUTINHO, G. F. .; VIEIRA, A. K. A. . Pulmonary valve atresia with intact ventricular septum: A case report. Research, Society and Development, [S. l.], v. 13, n. 2, p. e0113245019, 2024. DOI: 10.33448/rsd-v13i2.45019. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45019. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences