Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)

Atrial Septal Defect is most common congenital developmental acyanotic cardiac anomaly. There is left to right shunt of blood in normal compensated state. In decompensated state, the shunt is reversed and flow is from right to left side causing heart failure and thrombo-embolic event. Here, we repo...

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Main Authors: Krunal Suryavanshi, Jyoti Deshpande
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-07-01
Series:Archives of Anesthesia and Critical Care
Subjects:
Online Access:https://aacc.tums.ac.ir/index.php/aacc/article/view/567
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author Krunal Suryavanshi
Jyoti Deshpande
author_facet Krunal Suryavanshi
Jyoti Deshpande
author_sort Krunal Suryavanshi
collection DOAJ
description Atrial Septal Defect is most common congenital developmental acyanotic cardiac anomaly. There is left to right shunt of blood in normal compensated state. In decompensated state, the shunt is reversed and flow is from right to left side causing heart failure and thrombo-embolic event. Here, we report a case of Humerus fracture with large ASD, managed under General Anaesthesia with Interscalene block without any deleterious effects like Venous Air Embolism, Spontaneous Reversal of Shunt etc. As patient was in Beach chair position.
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spelling doaj.art-dac3eb51185a4453babfad04bc009bcd2023-09-11T04:52:55ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492023-07-019410.18502/aacc.v9i4.13529Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)Krunal Suryavanshi0Jyoti Deshpande1Department of Anaesthesiology, Smt. Kashibai Navale Medical College and General Hospital, Narhe, Pune, India.Department of Anaesthesiology,Symbiosis Medical College for Women, Symbiosis International University, Pune, India. Atrial Septal Defect is most common congenital developmental acyanotic cardiac anomaly. There is left to right shunt of blood in normal compensated state. In decompensated state, the shunt is reversed and flow is from right to left side causing heart failure and thrombo-embolic event. Here, we report a case of Humerus fracture with large ASD, managed under General Anaesthesia with Interscalene block without any deleterious effects like Venous Air Embolism, Spontaneous Reversal of Shunt etc. As patient was in Beach chair position. https://aacc.tums.ac.ir/index.php/aacc/article/view/567AnaesthesiaLarge ASDHumerus fractureInterscalene block.
spellingShingle Krunal Suryavanshi
Jyoti Deshpande
Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)
Archives of Anesthesia and Critical Care
Anaesthesia
Large ASD
Humerus fracture
Interscalene block.
title Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)
title_full Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)
title_fullStr Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)
title_full_unstemmed Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)
title_short Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)
title_sort anaesthesia management of case of atrial septal defect cardiac disease for proximal humerus fracture non cardiac case
topic Anaesthesia
Large ASD
Humerus fracture
Interscalene block.
url https://aacc.tums.ac.ir/index.php/aacc/article/view/567
work_keys_str_mv AT krunalsuryavanshi anaesthesiamanagementofcaseofatrialseptaldefectcardiacdiseaseforproximalhumerusfracturenoncardiaccase
AT jyotideshpande anaesthesiamanagementofcaseofatrialseptaldefectcardiacdiseaseforproximalhumerusfracturenoncardiaccase