A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery

Congenitally corrected transposition of great arteries (CC-TGAs) associated with a ventricular septal defect (VSD) presents with cyanotic spells and systemic complications such as brain abscess. In mesocardia, the heart lies in the midline with no apex seen on the left side. We report the anesthetic...

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Autores principales: Biswas, Soniya, Thakkar, Keta, Ajayan, Neeraja, Hrishi, Ajay Prasad, Sethuraman, Manikandan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906105/
https://www.ncbi.nlm.nih.gov/pubmed/31831995
http://dx.doi.org/10.1055/s-0039-3399601
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author Biswas, Soniya
Thakkar, Keta
Ajayan, Neeraja
Hrishi, Ajay Prasad
Sethuraman, Manikandan
author_facet Biswas, Soniya
Thakkar, Keta
Ajayan, Neeraja
Hrishi, Ajay Prasad
Sethuraman, Manikandan
author_sort Biswas, Soniya
collection PubMed
description Congenitally corrected transposition of great arteries (CC-TGAs) associated with a ventricular septal defect (VSD) presents with cyanotic spells and systemic complications such as brain abscess. In mesocardia, the heart lies in the midline with no apex seen on the left side. We report the anesthetic management of a child with CC-TGA, VSD, and mesocardia presenting with parietal brain abscess for neurosurgery. The significant anesthetic challenges include maintenance of peripheral vascular resistance lower than systemic vascular resistance, prevention of air embolism and paradoxical embolism, avoidance of hyperviscosity in addition to avoiding any rise in intracranial pressure, and maintenance of cerebral perfusion pressure.
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spelling pubmed-69061052019-12-12 A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery Biswas, Soniya Thakkar, Keta Ajayan, Neeraja Hrishi, Ajay Prasad Sethuraman, Manikandan J Neurosci Rural Pract Congenitally corrected transposition of great arteries (CC-TGAs) associated with a ventricular septal defect (VSD) presents with cyanotic spells and systemic complications such as brain abscess. In mesocardia, the heart lies in the midline with no apex seen on the left side. We report the anesthetic management of a child with CC-TGA, VSD, and mesocardia presenting with parietal brain abscess for neurosurgery. The significant anesthetic challenges include maintenance of peripheral vascular resistance lower than systemic vascular resistance, prevention of air embolism and paradoxical embolism, avoidance of hyperviscosity in addition to avoiding any rise in intracranial pressure, and maintenance of cerebral perfusion pressure. Thieme Medical and Scientific Publishers 2019-10 2019-12-11 /pmc/articles/PMC6906105/ /pubmed/31831995 http://dx.doi.org/10.1055/s-0039-3399601 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Biswas, Soniya
Thakkar, Keta
Ajayan, Neeraja
Hrishi, Ajay Prasad
Sethuraman, Manikandan
A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery
title A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery
title_full A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery
title_fullStr A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery
title_full_unstemmed A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery
title_short A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery
title_sort case of transposition of great arteries with ventricular septal defect and mesocardia presenting for neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906105/
https://www.ncbi.nlm.nih.gov/pubmed/31831995
http://dx.doi.org/10.1055/s-0039-3399601
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