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Continuous spinal anaesthesia for a total hip arthroplasty in a patient with an atrial septal defect
Laurent Lonjaret1, Olivier Lairez, Vincent Minville
1Department of Anesthesiology, Toulouse University Hospital, Toulouse, France. lonjaret.l@chu-toulouse.fr
Insights
This case study details the anesthetic management of a 68-year-old woman with an unrepaired atrial septal defect (ASD) undergoing hip surgery. Continuous spinal anesthesia was successfully employed, highlighting a viable option for complex adult congenital heart disease.
Area of Science:
- Cardiology
- Anesthesiology
- Adult Congenital Heart Disease
Background:
- Atrial septal defect (ASD) is the most common congenital heart defect in adults.
- Unrepaired ASD can lead to pulmonary hypertension, increasing surgical risks.
- Managing anesthesia in adults with unrepaired ASD presents unique challenges.
Abstract:
Atrial septal defect (ASD) is often diagnosed and repaired during childhood. Nevertheless, it is the most common congenital cardiac defect seen in adults. ASD is characterized by a left-to-right intracardiac shunt and pulmonary hypertension. Pulmonary hypertension increases perioperative risks of morbidity and mortality. We report the anaesthetic management of a 68-year-old woman with an unrepaired ASD, who underwent a total hip arthroplasty under continuous spinal anaesthesia.
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