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All Journal Journal Of Widya Medika Junior
Dorothea Kusumaningrat
Surgery Department, Ruteng General Hospital, Manggarai Indonesia
Medicine & Pharmacology Public Health

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FONTAN CIRCULATION AND PREGNANCY: IS IT POSSIBLE Dorothea Kusumaningrat; Ellenora R Mustikaningrat; Gerardo AK Laksono; Paul L Tahalele
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 5, No 4 (2023): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v5i4.5089

Abstract

More than 85% of congenital heart disease in children survive to adulthood according to recent advances in pediatric cardiology and heart surgery practice. Fifty percent of  this population is made up of women, most of whom have reached child bearing age. In this group of patients, pregnancy represents a new challenge, whose natural history has been modified by surgery. In Fontan circulation,  the ventricle unable to compensate for the major restriction in the bottleneck and non physiological suction have to pull blood through the lungs, although the ventricles provide the driving force for the circuit.  Women with an adequate Fontan circulation can become pregnant without clinically significant long term sequele.  Pre-marital and pre-pregnancy consultation is important. A close collaboration between cardiologist, obstetrician and anaesthesiologist is mandatory in order to get the best outcome of pregnancy.
A CASE REPORT OF NECROTIZING FASCIITIS OF THE NECK AND ANTERIOR CHEST WALL CAUSED BY ODONTOGENIC INFECTION IN ELDERLY: DIAGNOSIS AND MANAGEMENT IN RURAL AREA Dorothea Kusumaningrat; Gerardo AK Laksono; Ellenora R Mustikaningrat; Oktavianus Y Ampur; Paul L Tahalele
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 5, No 4 (2023): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v5i4.5001

Abstract

Introduction: Necrotizing Fasciitis (NF) is bacterial infection spreading rapidly affecting soft tissue and muscular fascia. It's life threatening and fatal, leads to tissue necrosis, sepsis, and death. It has high mortality number especially in elderly.Purpose: To report a rare case of odontogenic NF in elderly patient extending to the neck, left upper limb and anterior chest wall, diagnosed and treated in district hospital with limited facilities.Case Report: A 65 years old male with painful left neck swelling and fluctuating gangrenous appearance start form the mastoid bone to infraclavicular area crossing to the right close with sternal area. Swelling and fluctuating area also found in left axillar and left arm. Thirteen hours after hospital admission, the patient was sent to operating room to do the wound debridement. Wound care was carried out daily in intensive care unit and inpatient ward. 14 days postoperatively patient was send out to continue the wound care in outpatient department. 28 days postoperatively, skin grafting was done.Conclusion: Fourteen days postoperatively patient was sent to outpatient department to continue his wound care. After wound care in order to wound prepare for skin grafting. 28 days postoperatively, 14 days after patient discharge from hospital, skin grafting was done to close the wound defect.
Co-Authors Ellenora R Mustikaningrat Ellenora R Mustikaningrat Gerardo AK Laksono Gerardo AK Laksono Oktavianus Y Ampur Paul L Tahalele