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Anesthesia for laryngotracheal reconstruction in a child with single ventricle

Masood Mohseni1, Aslan Ahmadi2, Ayda Sanaei2

  • 1Department of Anesthesiology, Iran University of Medical Sciences, Tehran, Iran.

Annals of Cardiac Anaesthesia
|April 22, 2021
PubMed

Insights

Anesthetic care for children with congenital heart disease is growing. This case highlights managing a single ventricle patient with severe subglottic stenosis undergoing tracheal surgery, emphasizing airway challenges.

Area of Science:

  • Pediatric Anesthesiology
  • Congenital Heart Disease
  • Airway Management

Background:

  • Increasing prevalence of children with congenital heart defects requiring anesthesia.
  • Congenital heart disease presents unique challenges for non-cardiac surgery.
  • Subglottic stenosis is a potential complication in pediatric patients.

Observation:

  • A case of a pediatric patient with single ventricle physiology.
  • The patient required laryngotracheal reconstruction due to severe subglottic stenosis.
  • The stenosis resulted from prolonged intubation post-Glenn shunt procedure.

Findings:

  • Detailed anesthetic management strategies for a single ventricle pediatric patient.
  • Specific airway management considerations for severe subglottic stenosis.
  • Challenges during tracheal surgery in this complex patient population.

Implications:

  • Informs anesthetic protocols for pediatric congenital heart patients undergoing non-cardiac surgery.
  • Highlights the critical importance of meticulous airway management in cases of severe subglottic stenosis.
  • Provides insights for surgical teams managing complex airway reconstructions in children with single ventricles.

Keywords:
Airway managementanesthesiacongenital heart diseasesingle ventricle

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