Anesthesia for a Rare Case of Uncorrected Pentalogy of Fallot Undergoing Craniotomy and Drainage of Brain Abscess

Children with uncorrected cyanotic congenital heart diseases can present for non cardiac surgeries. They pose several challenges to the Anaesthesiologist, especially when they are posted for emergency surgery, due to the complex haemodynamic changes secondary to the heart disease. Pentalogy of Fal...

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Main Authors: Vinay Marulasiddappa, B.S. Raghavendra
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/6149/13650_CE(RA1)_F(T)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf
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author Vinay Marulasiddappa
B.S. Raghavendra
author_facet Vinay Marulasiddappa
B.S. Raghavendra
author_sort Vinay Marulasiddappa
collection DOAJ
description Children with uncorrected cyanotic congenital heart diseases can present for non cardiac surgeries. They pose several challenges to the Anaesthesiologist, especially when they are posted for emergency surgery, due to the complex haemodynamic changes secondary to the heart disease. Pentalogy of Fallot (POF) is a rare form of congenital heart disease characterized by the association of Tetralogy of Fallot (TOF) with an atrial septal defect (ASD). TOF is the leading cause of intracardiac right to left shunt and is the commonest type of cyanotic congenital heart disease to cause a brain abscess. Children with POF presenting with brain abscess pose several challenges to the anaesthesiologist due to the altered haemodynamics and warrant a meticulous anaesthetic plan. There are very few case reports of Anaesthesia management of a child with Pentalogy of Fallot (POF) presenting for non cardiac surgery. We report the anaesthetic management of a rare case of a 5-year-old child with uncorrected POF, who presented to our Superspeciality hospital with a brain abscess and underwent an emergency craniotomy with drainage of the brain abscess successfully.
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spelling doaj.art-5e5d1d91b43546b1a47f1ff402171ba42022-12-22T03:39:04ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-07-0197UD01UD0210.7860/JCDR/2015/13650.6149Anesthesia for a Rare Case of Uncorrected Pentalogy of Fallot Undergoing Craniotomy and Drainage of Brain AbscessVinay Marulasiddappa0B.S. Raghavendra1Associate Professor, Department of Anaesthesia, Bangalore Medical College and Research Institute, Bengaluru, India. Assistant Professor, Department of Anaesthesia, Bangalore Medical College and Research Institute, Bengaluru, India.Children with uncorrected cyanotic congenital heart diseases can present for non cardiac surgeries. They pose several challenges to the Anaesthesiologist, especially when they are posted for emergency surgery, due to the complex haemodynamic changes secondary to the heart disease. Pentalogy of Fallot (POF) is a rare form of congenital heart disease characterized by the association of Tetralogy of Fallot (TOF) with an atrial septal defect (ASD). TOF is the leading cause of intracardiac right to left shunt and is the commonest type of cyanotic congenital heart disease to cause a brain abscess. Children with POF presenting with brain abscess pose several challenges to the anaesthesiologist due to the altered haemodynamics and warrant a meticulous anaesthetic plan. There are very few case reports of Anaesthesia management of a child with Pentalogy of Fallot (POF) presenting for non cardiac surgery. We report the anaesthetic management of a rare case of a 5-year-old child with uncorrected POF, who presented to our Superspeciality hospital with a brain abscess and underwent an emergency craniotomy with drainage of the brain abscess successfully.https://jcdr.net/articles/PDF/6149/13650_CE(RA1)_F(T)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdfcyanotic congenital heart diseaseintracardiac shuntintracerebral abscessneurosurgery
spellingShingle Vinay Marulasiddappa
B.S. Raghavendra
Anesthesia for a Rare Case of Uncorrected Pentalogy of Fallot Undergoing Craniotomy and Drainage of Brain Abscess
Journal of Clinical and Diagnostic Research
cyanotic congenital heart disease
intracardiac shunt
intracerebral abscess
neurosurgery
title Anesthesia for a Rare Case of Uncorrected Pentalogy of Fallot Undergoing Craniotomy and Drainage of Brain Abscess
title_full Anesthesia for a Rare Case of Uncorrected Pentalogy of Fallot Undergoing Craniotomy and Drainage of Brain Abscess
title_fullStr Anesthesia for a Rare Case of Uncorrected Pentalogy of Fallot Undergoing Craniotomy and Drainage of Brain Abscess
title_full_unstemmed Anesthesia for a Rare Case of Uncorrected Pentalogy of Fallot Undergoing Craniotomy and Drainage of Brain Abscess
title_short Anesthesia for a Rare Case of Uncorrected Pentalogy of Fallot Undergoing Craniotomy and Drainage of Brain Abscess
title_sort anesthesia for a rare case of uncorrected pentalogy of fallot undergoing craniotomy and drainage of brain abscess
topic cyanotic congenital heart disease
intracardiac shunt
intracerebral abscess
neurosurgery
url https://jcdr.net/articles/PDF/6149/13650_CE(RA1)_F(T)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf
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