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Case Report

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

Uma Hariharan, Associate Professor, Dept. of Anesthesiology & Intensive Care, Dr. Ram Manohar Lohia Hospital & Post Graduate Institute of Medical Education and Research, New Delhi, Delhi 110001 India. , Uma Hariharan1 , Priyanka Shrivastava2

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Indian Journal of Anesthesia and Analgesia 5(11):p 1958-1960, November-December 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51118.28

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Abstract

  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.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.51118.28

Keywords

Transposition of Great Arteries (TGA); Ventricular Septal Defect (VSD); Pulmonic Stenosis; Cyanosis; Hypoxia; Laparotomy; Pediatric Anaesthesia.

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