Anesthetic Management of a Neonate with Coarctation of the Aorta and Duct-Dependent Circulation Posted for Tracheoesophageal Fistula Repair

Coarctation of the aorta (CoA) is a congenital heart disease found in a newborn with an incidence of 6%. It presents a significant clinical challenge in neonates posted for major surgeries like tracheoesophageal fistula (TEF) repair. We report the case of anesthetic management of a 2-day-old infant...

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Detalles Bibliográficos
Autores principales: Yergatti, Mohammed Zahid, Kundapur, Sheetal, Chandrika, Y. R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9701332/
https://www.ncbi.nlm.nih.gov/pubmed/36447911
http://dx.doi.org/10.4103/aer.aer_108_22
Descripción
Sumario:Coarctation of the aorta (CoA) is a congenital heart disease found in a newborn with an incidence of 6%. It presents a significant clinical challenge in neonates posted for major surgeries like tracheoesophageal fistula (TEF) repair. We report the case of anesthetic management of a 2-day-old infant with CoA and duct-dependent circulation posted for TEF repair. We describe how physiology affects its perioperative management and the role of maintaining balance in peripheral vascular resistance and systemic vascular resistance to maintain ductal flow.

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