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

被引：1

作者：

Waje, Niranjan Dilip ^{[1
]}

Chatterjee, Nilay ^{[2
]}

Arora, Nishant Ram ^{[3
]}

Kumar, Vijay ^{[4
]}

机构：

[1] Reliance Hosp, Cardiothorac & Liver Transplant Unit, Kopar Khairane, Navi Mumbai, India

[2] Yeovil Dist Hosp, Dept Anaesthet, Higher Kingston, Yeovil, England

[3] Royal Hosp, Natl Heart Ctr, Dept Cardiac Anaesthesia, Muscat, Oman

[4] Walton Ctr NHS Fdn Trust, Anaesthesia, Lower Lane, Liverpool, Merseyside, England

来源：

TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION | 2021年 / 49卷 / 02期

关键词：

Anaesthesia; congenital heart disease; echocardiography; hemodynamics; laparoscopic surgery; perioperative care; transesophageal; TETRALOGY; FALLOT;

D O I：

10.5152/TJAR.2020.373

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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 transocsophagcal echocardiography in perioperative management of a patient with uncorrected tetralogy of Fallot with pulmonary atresia, who successfully underwent air emergency laparoscopic hysterectomy under general anaesthesia.

引用

页码：169 / 174

页数：6

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