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- Title
Anesthetic management of a patient with congenital cyanotic heart anomaly for emergency surgery: A case report.
- Authors
PAHUJA, HEENA; NIKHADE, RAVIKIRAN; BHURE, ANJALI; PINGLEY, AISHWARYA
- Abstract
Among congenital cyanotic heart diseases (CHDs), situs inversus totalis with transposition of great vessels with a large ventricular septal defect (VSD) has a very low incidence of around 1 in 10,000. Hereby, we present a 16-year-old man with the aforementioned cardiac anomaly with cardiac arrhythmias, septic shock, and a history of road traffic accident-causing osteomyelitis of the left thigh requiring incision and drainage. The patient was admitted to the intensive care unit with a high-grade fever, narrow pulse pressure, and atrial fibrillation. The patient was operated on under general anesthesia with endotracheal intubation after optimization. Invasive monitoring, antiarrhythmics, and vasopressors were required intraoperatively, and surgery progressed uneventfully. Furthermore, the patient had undergone a series of debridements after 8 days, which were performed under regional anesthesia uneventfully. This case report represents a plan of action for perioperative anesthetic management and anticipates the difficulties for CHD patients in the course of surgery and subsequential prudence.
- Subjects
SITUS inversus; SURGICAL emergencies; CONGENITAL heart disease; ARRHYTHMIA; TRANSPOSITION of great vessels; SEPTIC shock; VENTRICULAR septal defects; DEBRIDEMENT; GENERAL anesthesia
- Publication
Saudi Journal of Anaesthesia, 2024, Vol 18, Issue 3, p450
- ISSN
1658-354X
- Publication type
Article
- DOI
10.4103/sja.sja_48_24