Anaesthetic Challenges and Transesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy

Anaesthetic management of a patient with adult congenital heart disease with a single ventricle physiology presenting for an emergency laparoscopic surgery is challenging. The importance of a multidisciplinary approach, astute understanding of the pathophysiology and optimisation of intraoperative h...

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Bibliographic Details
Published inTurkish journal of anaesthesiology and reanimation Vol. 49; no. 2; pp. 169 - 174
Main Authors Waje, Niranjan Dilip, Chatterjee, Nilay, Arora, Nishant Ram, Kumar, Vijay
Format Journal Article
LanguageEnglish
Published Turkey Aves Yayincilik Ltd. STI 01.04.2021
Turkish Anaesthesiology and Intensive Care Society
Subjects
Cardiovascular disease
Case Report
Case reports
Congenital diseases
Hysterectomy
Laparoscopy
Anaesthesia
transesophageal
laparoscopic surgery
echocardiography
perioperative care
congenital heart disease
hemodynamics
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Summary:Anaesthetic management of a patient with adult congenital heart disease with a single ventricle physiology presenting for an emergency laparoscopic surgery is challenging. The importance of a multidisciplinary approach, astute understanding of the pathophysiology and optimisation of intraoperative hemodynamic goals cannot be overemphasised. The present report describes the anaesthetic challenges and the role of transoesophageal echocardiography in perioperative management of a patient with uncorrected tetralogy of Fallot with pulmonary atresia, who successfully underwent an emergency laparoscopic hysterectomy under general anaesthesia.
ISSN:2667-677X
2667-6370
2667-6370
DOI:10.5152/TJAR.2020.373