Anesthetic Care During Posterior Spinal Fusion in an Adolescent With Ebstein's Anomaly.

Autor:	Phi K; The Ohio State University School of Medicine, Columbus, OH, USA., Martin DP; Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.; Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, OH, USA., Beebe A; Department of Orthopedic Surgery, Nationwide Children's Hospital and The Ohio State University, Columbus, OH, USA., Klamar J; Department of Orthopedic Surgery, Nationwide Children's Hospital and The Ohio State University, Columbus, OH, USA., Tobias JD; Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.; Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, OH, USA.
Jazyk:	angličtina
Zdroj:	Journal of medical cases [J Med Cases] 2020 Mar; Vol. 11 (3), pp. 68-72. Date of Electronic Publication: 2020 Mar 26.
DOI:	10.14740/jmc3449
Abstrakt:	Ebstein's anomaly is a rare form of cyanotic congenital heart disease (CHD) that involves malformation and dysfunction of the tricuspid valve and right ventricle (RV). The severity of the defect impacts clinical presentation, survival, and treatment options. Presentation during the neonatal period with hypoxemia and cyanosis is noted in patients with severe tricuspid valve malformation, a hypoplastic RV, or RV outflow tract obstruction. However, presentation later in infancy is more common when there is a moderate tricuspid valve malformation and no associated RV outflow tract obstruction. Although Ebstein's anomaly is not generally associated with other congenital defects, patients may occasionally require surgery for other comorbid conditions. We describe the perioperative anesthetic management of an adolescent with Ebstein's anomaly for posterior spinal fusion. Previous reports of anesthetic care in this clinical scenario are reviewed, anesthetic considerations discussed, and options for intraoperative monitoring and anesthetic care presented. Competing Interests: None to declare. (Copyright 2020, Phi et al.)
Databáze:	MEDLINE
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