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Indian Journal of Anesthesia and Analgesia 12(3):p 217-221, July-Sept. 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12325.7
Case Report
Anaesthesia for Posterior Sagittal Anorectoplasty in a Child with Congenitally Corrected Transposition of Great Arteries
Sandhya Babu, Swati Chhatrapati, Mano Praveen
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(3):p 217-221, July-Sept. 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12325.7
How Cite This Article:
Sandhya Babu, Swati Chhatrapati, Mano Praveen. Anaesthesia for Posterior Sagittal Anorectoplasty in a Child with Congenitally Corrected Transposition of Great Arteries. Ind J Anesth Analg. 2025; 12(3): 217-221.Timeline
Received : May 03, 2025
Accepted : June 16, 2025
Published : September 25, 2025
Abstract
Congenitally corrected Transposition of the great Arteries (cc TGA) is a rare congenital cardiac anomaly in which the aorta and pulmonary artery are transposed, presenting unique anesthetic challenges. The patient’s cardiac physiology, characterized by atrioventricular and ventriculoarterial discordance characterized by abnormal ventricular loading and potential for arrhythmias, required meticulous pre-operative evaluation and careful anesthetic planning. We report the peri-operative anesthetic management of a 3 year old child with ccTGA scheduled for a posterior sagittal anorectoplasty (PSARP) for an anorectal malformation under general anaesthesia in prone position.
References
- 1. Filippov A.A., Del Nido P.J., Vasilyev N.V. Management of systemic right ventricular failure in patients with congenitally corrected transposition of the great arteries. Circulation. 2016; 134(17): 1293–302.
- 2. Graham, T.P., Bernard, Y.D., Mellen, B.G., Celermajer, D., Baumgartner, H., Cetta, F., & Webb, G. (2000). Long-term outcome in congenitally corrected transposition of the great arteries: a multi-institutional study. Journal of the American College of Cardiology, 36(1), 255-261. https://doi.org/10.1016/S0735-1097(00)00691-0
- 3. Warnes, C.A. (2006). Transposition of the great arteries. Circulation, 114(24), 2699–2709. https:// doi.org/10.1161/Circulationaha.105.592352
- 4. Anderson, R.H., Jacobs, M.L., & Weinberg, P.M. (2008). The anatomy of transposition of the great arteries. Cardiology in the Young, 18(S2), 4–13. https://doi.org/10.1017/ S104795110800234X
- 5. Friesen, R.H. (2004). Anesthetic management of children with congenital heart disease undergoing noncardiac surgery. Paediatric Anaesthesia, 14(4), 314-319. https://doi. org/10.1046/j.1460-9592.2003.01271.x
- 6. Brickner, M.E., Hillis, L.D., & Lange, R.A. (2000). Congenital heart disease in adults. New England Journal of Medicine, 342(4), 256-263. https:// doi.org/10.1056/NEJM200001273420407
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Sandhya Babu, Swati Chhatrapati, Mano Praveen. Anaesthesia for Posterior Sagittal Anorectoplasty in a Child with Congenitally Corrected Transposition of Great Arteries. Ind J Anesth Analg. 2025; 12(3): 217-221.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| May 03, 2025 | June 16, 2025 | September 25, 2025 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.12325.7
Keywords
Congenital heart diseaseArrhythmiacc TGAPSARPSearch for Similar Articles
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Timeline
| Received | May 03, 2025 |
| Accepted | June 16, 2025 |
| Published | September 25, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
