Turkish Journal of Anaesthesiology & Reanimation
Cardiovascular and Thoracic Anaesthesia - CASE REPORT

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

1.

Cardiothoracic and Liver Transplant Unit, Reliance Hospital, Kopar Khairane, Navi Mumbai, India

2.

Department of Anaesthetics, Yeovil District Hospital, Higher Kingston, Yeovil, United Kingdom

3.

Department of Cardiac Anaesthesia, National Heart Centre, The Royal Hospital, Muscat, Oman

4.

Clinical Fellow in Anaesthesia, The Walton Centre NHS Foundation Trust, Lower Lane, Fazakerley, Liverpool, United Kingdom

Turk J Anaesthesiol Reanim 2021; 49: 169-174
DOI: 10.5152/TJAR.2020.373
Read: 12 Downloads: 12 Published: 21 April 2021

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.

Cite this article as: Waje ND, Chatterjee N, Arora N, Kumar V. Anaesthetic Challenges and Transoesophageal Echocardiography-Guided Perioperative Management in a Patient with Uncorrected Adult Congenital Heart Disease Presenting for Emergency Laparoscopic Hysterectomy. Turk J Anaesthesiol Reanim 2021; 49(2): 169-74.

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