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- Title
Anesthetic management of a case of Gilbert's syndrome for mitral and aortic valve replacement: Role of transesophageal echocardiography.
- Authors
NAGARAJA, P. S.; SINGH, NAVEEN G.; SUBASH, S.; MANJUNATHA, N.; PRABHUSHANKAR, C. G.; SATHISHQ, N.
- Abstract
Gilbert's syndrome (GS) is an autosomal inherited disorder characterized by relative deficiency of glucuronyl transferase and poor uptake of unconjugated bilirubin by hepatocytes. Cardiac surgery on cardiopulmonary bypass (CPB) in these patients triggers further hepatic dysfunction. Transesophageal echocardiography (TEE) and Doppler assessment of hepatic vein help in assessing hepatic blood flow (HBF) during cardiac surgery. Here, we discuss anesthetic management and role of TEE in maintaining HBF perioperatively in a 25-year-old male patient with GS undergoing double valve replacement with tricuspid valve plasty. TEE-guided HBF monitoring and management of hepatic perfusion by modifying anesthetic and CPB protocol resulted in the favorable outcome.
- Subjects
MANAGEMENT turnover; LABOR turnover; ECHOCARDIOGRAPHY; DIAGNOSTIC ultrasonic imaging; CARDIAC imaging
- Publication
Saudi Journal of Anaesthesia, 2017, Vol 11, Issue 1, p89
- ISSN
1658-354X
- Publication type
Article
- DOI
10.4103/1658-354X.197335