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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Autores principales: Waje, Niranjan Dilip, Chatterjee, Nilay, Arora, Nishant Ram, Kumar, Vijay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Anaesthesiology and Intensive Care Society 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8098740/
https://www.ncbi.nlm.nih.gov/pubmed/33997849
http://dx.doi.org/10.5152/TJAR.2020.373
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author Waje, Niranjan Dilip
Chatterjee, Nilay
Arora, Nishant Ram
Kumar, Vijay
author_facet Waje, Niranjan Dilip
Chatterjee, Nilay
Arora, Nishant Ram
Kumar, Vijay
author_sort Waje, Niranjan Dilip
collection PubMed
description 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.
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spelling pubmed-80987402021-05-13 Anaesthetic Challenges and Transesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy Waje, Niranjan Dilip Chatterjee, Nilay Arora, Nishant Ram Kumar, Vijay Turk J Anaesthesiol Reanim Case Report 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. Turkish Anaesthesiology and Intensive Care Society 2021-04 2020-12-24 /pmc/articles/PMC8098740/ /pubmed/33997849 http://dx.doi.org/10.5152/TJAR.2020.373 Text en © Copyright 2021 by Turkish Anaesthesiology and Intensive Care Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Case Report
Waje, Niranjan Dilip
Chatterjee, Nilay
Arora, Nishant Ram
Kumar, Vijay
Anaesthetic Challenges and Transesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy
title Anaesthetic Challenges and Transesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy
title_full Anaesthetic Challenges and Transesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy
title_fullStr Anaesthetic Challenges and Transesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy
title_full_unstemmed Anaesthetic Challenges and Transesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy
title_short Anaesthetic Challenges and Transesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy
title_sort anaesthetic challenges and transesophageal echocardiography-guided perioperative management in a patient with uncorrected adult congenital heart disease presenting for emergency laparoscopic hysterectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8098740/
https://www.ncbi.nlm.nih.gov/pubmed/33997849
http://dx.doi.org/10.5152/TJAR.2020.373
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