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Anaesthesia for Complex Cyanotic Congenital Cardiac Disease in a Child for Emergency Laparotomy

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Why is it important?

Transposition of great arteries is a rare and serious congenital cyanotic disorder in which two main arteries leaving the heart are reversed or transposed. Transposition of the great arteries changes the way blood circulates through the body, leaving a shortage of oxygen in blood flowing through the heart to the rest of the body. These patients are at high risk of peri­operative mortality due to ventricular dysfunction, chronic hypoxia, hyper­cyanotic spells, polycythemia and infective endocarditis [1]. Very limited studies are available regarding anaesthetic consideration in patients with uncorrected D­TGA with other congenital cardiac defects like ventricular septal defect (VSD) and pulmonic stenosis. This case report highlights the anaesthetic challenges in an uncorrected transposition of great arteries along with other congenital cardiac defects for an emergency non­cardiac surgery in a critically ill pediatric patient.

Perspectives

Transposition of great arteries is a rare and serious congenital cyanotic disorder in which two main arteries leaving the heart are reversed or transposed. Transposition of the great arteries changes the way blood circulates through the body, leaving a shortage of oxygen in blood flowing through the heart to the rest of the body. These patients are at high risk of peri­operative mortality due to ventricular dysfunction, chronic hypoxia, hyper­cyanotic spells, polycythemia and infective endocarditis [1]. Very limited studies are available regarding anaesthetic consideration in patients with uncorrected D­TGA with other congenital cardiac defects like ventricular septal defect (VSD) and pulmonic stenosis. This case report highlights the anaesthetic challenges in an uncorrected transposition of great arteries along with other congenital cardiac defects for an emergency non­cardiac surgery in a critically ill pediatric patient.

Red Flower Publication Publications
Red Flower Publication Pvt Ltd

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This page is a summary of: Anaesthesia for Complex Cyanotic Congenital Cardiac Disease in a Child for Emergency Laparotomy, Indian Journal of Anaesthesia and Analgesia, January 2018, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.51118.28.
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