Anesthetic implications of total anomalous systemic venous connection to left atrium with left isomerism

Total anomalous systemic venous connection (TASVC) to the left atrium (LA) is a rare congenital anomaly. An 11-year-old girl presented with complaints of palpitations and cyanosis. TASVC with left isomerism and noncompaction of LV was diagnosed after contrast echocardiogram and computed tomography a...

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Bibliographic Details
Main Authors: Parimala Prasanna Simha, Muralidhara Danappa Patel, A M Jagadeesh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Annals of Cardiac Anaesthesia
Subjects:
Online Access:http://www.annals.in/article.asp?issn=0971-9784;year=2012;volume=15;issue=2;spage=134;epage=137;aulast=Simha
Description
Summary:Total anomalous systemic venous connection (TASVC) to the left atrium (LA) is a rare congenital anomaly. An 11-year-old girl presented with complaints of palpitations and cyanosis. TASVC with left isomerism and noncompaction of LV was diagnosed after contrast echocardiogram and computed tomography angiogram. The knowledge of anatomy and pathophysiology is essential for the successful management of these cases. Anesthetic concerns in this case were polycythemia, paradoxical embolism and rhythm abnormalities. The patient was successfully operated by rerouting the systemic venous connection to the right atrium.
ISSN:0971-9784