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Perioperative management of a patient with Dandy Walker malformation with tetralogy of Fallot undergoing total correction and fresh homologous pericardial pulmonary valve conduit implantation: Report of a rare case.
Ann Card Anaesth ; 2015 Jul; 18(3): 433-436
Artigo em Inglês | IMSEAR | ID: sea-162397
ABSTRACT
Perioperative management of a patient with Dandy–Walker malformation (DWM) with tetralogy of Fallot (TOF), patent ductus arteriosus, and pulmonary artery stenosis is a great challenge to the anesthesiologist. Anesthetic management in such patients can trigger tet spells that might rapidly increase intracranial pressure (ICP), conning and even death. The increase in ICP can precipitate tet spells and further brain hypoxia. To avoid an increase in ICP during TOF corrective surgery ventriculo‑peritoneal (VP) shunt should be performed before cardiac surgery. We present the first case report of a 11‑month‑old male baby afflicted with DWM and TOF who underwent successful TOF total corrective surgery and fresh autologous pericardial pulmonary valve conduit implantation under cardiopulmonary bypass after 1 week of VP shunt insertion.
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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Artéria Pulmonar / Valva Pulmonar / Tetralogia de Fallot / Transplante Homólogo / Humanos / Masculino / Ponte Cardiopulmonar / Stents / Assistência Perioperatória / Implante de Prótese de Valva Cardíaca Idioma: Inglês Revista: Ann Card Anaesth Ano de publicação: 2015 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Artéria Pulmonar / Valva Pulmonar / Tetralogia de Fallot / Transplante Homólogo / Humanos / Masculino / Ponte Cardiopulmonar / Stents / Assistência Perioperatória / Implante de Prótese de Valva Cardíaca Idioma: Inglês Revista: Ann Card Anaesth Ano de publicação: 2015 Tipo de documento: Artigo