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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Complex cyanotic congenital heart disease and cervical spine surgery: Ticking all the right boxes

Sanjay Jaswal1, Vinitha Narayan2, Punith Gowda2

  • 1Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India.

Annals of Cardiac Anaesthesia
|October 20, 2023
PubMed

Insights

Managing adults with complex congenital heart disease (CHD) requires careful anesthetic planning for surgery. This case highlights successful management of a double outlet right ventricle (DORV) patient during fracture repair.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Orthopedic Surgery

Background:

  • Complex congenital heart disease (CHD) patients often require surgical interventions beyond childhood.
  • Adults with CHD present unique anesthetic challenges due to continuous pathophysiological changes.

Observation:

  • A middle-aged adult patient with double outlet right ventricle (DORV), a complex CHD, required surgery for a hangman's fracture.
  • The surgery was performed in the prone position, adding complexity to anesthetic management.

Findings:

  • Optimal anesthetic management was achieved by thoroughly understanding the patient's specific DORV anatomy and associated pathophysiology.
  • The successful surgical outcome was attributed to the tailored anesthetic approach.

Implications:

  • This case underscores the importance of individualized anesthetic strategies for adult CHD patients undergoing non-cardiac surgery.
  • It highlights the feasibility of managing complex cardiac conditions in adult surgical patients with appropriate multidisciplinary care.

Keywords:
Cervical spine surgeryDORVcyanotic congential heart disease

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