Anesthetic management of a patient with large atrial septal defect undergoing laparoscopic cholecystectomy: A case report

Park, Yeon Soo; Kim, Ji Yeon

doi:10.4103/sja.sja_638_19

Cited by 5 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[19][20][21] Long-term PAH has been associated with ventricular hypertrophy, myocardial ischaemia, arrhythmias, and even heart blocks, expected during general anaesthesia, along with air embolism in cases of ASD. 22 Pulmonary Vascular Resistance (PVR) is very high in Eisenmenger syndrome, which is characterised by irreversible pulmonary vascular disease with reversed or bidirectional shunt flow. 18 In our case, a 48-year-old female with a large Osteum Secondum defect and Severe PAH undergoing craniotomy for recurrent astrocytoma, general anaesthesia is the preferred anaesthetic technique because it leads to better ventilation and maintenance of systemic vascular resistance.…”

Section: Discussionmentioning

confidence: 99%

Anaesthethetic management of craniotomy for recurrent astrocytoma in case of large atrial septal defect with severe pulmonary hypertension: A case report

Koli

Gupta²,

Katkade³

et al. 2022

IJCA

View full text Add to dashboard Cite

In adult population after bicuspid aortic valve, atrial septal defect (ASD) is the most common congenital acyanotic heart disease, with high prevalence in females. Large ASD with pulmonary hypertension (PAH) posted for non-cardiac surgery poses a challenge to anaesthesiologists because intraoperative hypercarbia, hypoxemia, and hyperthermia can result in increased pulmonary vascular resistance (PVR), which can result in shunt reversal, congestive heart failure, and fatal arrhythmias. We report successful anaesthetic management of 48yrs female case of recurrent astrocytoma posted for craniotomy. Patient was having large ostium secundum ASD (35 mm in diameter), with severe PAH having PASP 75mmhg by TR jet, with dilated RA/RV, moderate TR and LVEF 55% under GA, with titrated induction, avoiding rise in PVR and maintaining systemic vascular resistance (SVR) with vasopressors intraoperatively to avoid shunt reversal.:To concludepatients with severe PHT due to large ASD, require meticulous intraoperative management to prevent any rise in PAH, and maintenance of systemic vascular resistance with optimal oxygen delivery and excellent postoperative analgesia for excellent outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Anaesthethetic management of craniotomy for recurrent astrocytoma in case of large atrial septal defect with severe pulmonary hypertension: A case report

Koli

Gupta²,

Katkade³

et al. 2022

IJCA

View full text Add to dashboard Cite

show abstract

“…Eisenmenger physiology with reversal of shunt is most dreaded complication. 4 In this case report, we present the management of young female patient with ASD posted for D5 spine decompression and fixation.…”

Section: Introductionmentioning

confidence: 99%

A case of ostium secundum atrial septal defect for major decompressive spine surgery – covering the paths still left untreaded

Nidhi Sultania,

Priyanka Bansal,

Kunal Bansal

2024

Asian J Med Sci

View full text Add to dashboard Cite

Atrial septal defect (ASD) accounts for 35% of all congenital heart diseases in adults. Patients usually present in their twenties or thirties owing to gradually progressive right ventricular remodeling because of left to right shunt, right-sided heart failure, and pulmonary hypertension. In this case report, we present the management of young female patient with ASD posted for D5 spine decompression and fixation. Patients with congenital heart disease for spine surgery present with unique set of challenges for anesthesiologists. Well-prepared anesthesia plan is essential to prevent increase in shunt fraction, shunt reversal, hypoxia, hypercapnia, acidosis, and hypothermia along with careful addressal of positioning issues to ensure smooth recovery of patient.

show abstract

Anaesthesia management of a patient with a large sinus venosus atrial septal defect for laparoscopic surgery - A case report

Samagh,

Paliwal,

Grewal

et al. 2024

JCA Advances

View full text Add to dashboard Cite

Anesthetic management of a patient with large atrial septal defect undergoing laparoscopic cholecystectomy: A case report

Cited by 5 publications

References 9 publications

Anaesthethetic management of craniotomy for recurrent astrocytoma in case of large atrial septal defect with severe pulmonary hypertension: A case report

Anaesthethetic management of craniotomy for recurrent astrocytoma in case of large atrial septal defect with severe pulmonary hypertension: A case report

A case of ostium secundum atrial septal defect for major decompressive spine surgery – covering the paths still left untreaded

Anaesthesia management of a patient with a large sinus venosus atrial septal defect for laparoscopic surgery - A case report

Contact Info

Product

Resources

About