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- Title
A Child with VACTERL Association for Deceased Donor Renal Transplantation: Perioperative Anesthetic Management Concerns.
- Authors
Trivedi, Viral; Vaniya, Nilesh; Vora, Kalpana; Singh, Amrita
- Abstract
Each letter of the mnemonic VACTERL stands for one or more types of malformation. It is defined by the presence of at least 3 of the following congenital malformations: vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula, renal anomalies, and limb abnormalities. In addition to these core component features, patients may also have other congenital anomalies. It is an association rather than a syndrome. Due to multiple congenital anomalies of different systems, anesthesia management of these patients can be challenging. Here, we present a case of a 14-year-old patient with VACTERL association posted for deceased donor renal transplantation under general anesthesia. Our article describes the uneventful perioperative course of the patient and highlights the concerns and complications in anesthesia management of a patient with VACTERL association.
- Subjects
SPINE abnormalities; ESOPHAGEAL abnormalities; HEART radiography; KIDNEY disease diagnosis; KIDNEY abnormalities; ANAL abnormalities; ANTICONVULSANTS; ECHOCARDIOGRAPHY; ANESTHESIA; EXTREMITIES (Anatomy); HETEROCYCLIC compounds; KIDNEY transplantation; TRACHEA; CONGENITAL heart disease; FENTANYL; MULTIPLE human abnormalities; CONGENITAL disorders; SEVOFLURANE; HEMODIALYSIS; MIDAZOLAM; ATRACURIUM; ETOMIDATE
- Publication
Indian Journal of Transplantation, 2023, Vol 17, Issue 1, p110
- ISSN
2212-0017
- Publication type
Article
- DOI
10.4103/ijot.ijot_76_22