ANESTHETIC MANAGEMENT OF A KNOWN CASE OF EBSTEIN’S ANOMALY POSTED FOR HEMITHYROIDECTOMY: A CASE REPORT
| Autor: | Snehalatha Bhashyam, Krishna Prasad P, Sowbhagya Lakshmi B, Bramhaji Rao K V P |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Tricuspid valve business.industry Airway obstruction medicine.disease Pulmonary hypertension Intracardiac injection Surgery medicine.anatomical_structure Hematoma Ventricle Heart failure Ebstein's anomaly Internal medicine cardiovascular system medicine Cardiology cardiovascular diseases business |
| Zdroj: | Journal of Evolution of Medical and Dental Sciences. 3:11860-1865 |
| ISSN: | 2278-4802 2278-4748 |
| DOI: | 10.14260/jemds/2014/3562 |
| Popis: | BACKGROUND: The rare congenital heart defect of Ebstein's anomaly is characterized by downward displacement and elongation of the tricuspid valve with poorly contractile right ventricle, an enlarged right atrium along with tricuspid regurgitation. It is frequently associated with intracardiac shunting, pulmonary hypertension, cardiac dysrhythmias, cyanosis and particularly associated with Wolf-Parkinson-White syndrome (up to 20 % of patients). Supra ventricular and ventricular arrythmias are common. Congestive heart failure and sudden collapse are the most common causes of death. The complications following thyroid surgery are rare due to better preoperative preparations and proper surgical techniques, however, complications like hematoma formation and recurrent laryngeal nerve injury are known to cause airway obstruction and can be fatal. Here we report the successful management of a 45 year old euthyroid patient, a known case of Ebstein's anomaly who underwent Hemithyroidectomy under General anaesthesia (G.A) Perioperative management was uncomplicated with good hemodynamic stability and patient was discharged without any untoward problem. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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