Anaesthetic Management of Patient with Atrial Septal Defect Posted for Abdominal Hysterectomy
Published: February 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/47480.14554
Sara Mary Thomas, Pranav Kanabar, Dinesh Chauhan, Malini Mehta
1. Associate Professor, Department of Anaesthesia, Smt. BK Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth (Deemed to be University), Piparia,
Vadodara, Gujarat, India.
2. Resident, Department of Anaesthesia, Smt. BK Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth (Deemed to be University), Piparia, Vadodara,
Gujarat, India.
3. Professor and Head, Department of Anaesthesia, Smt. BK Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth (Deemed to be University), Piparia,
Vadodara, Gujarat, India.
4. Professor, Department of Anaesthesia, Smt. BK Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth (Deemed to be University), Piparia, Vadodara,
Gujarat, India.
Correspondence
Sara Mary Thomas,
B 17, Saket Society, Behind Essar Petrol Pump,
Sussen-Tarsali Road, Vadodara, Gujarat, India.
E-mail: sara.cinosh@gmail.com
Incidence of Atrial Septal Defect (ASD) in acyanotic congenital heart disease is about 10%. This condition is commonly diagnosed in childhood, although in some cases it is detected in later stages of life. Patients with ASD and Pulmonary Hypertension (PHT) pose a great challenge to anaesthetic management. Authors are presenting a case of general anaesthetic management of 39-year-old lady having ASD with mild to moderate PHT undergoing abdominal hysterectomy, a noncardiac surgery. The patient was induced with Inj. Propofol slow Intravenous (IV) and intubation was achieved with succinylcholine and maintenance was done with atracurium and isoflurane. The primary goal of general anaesthesia was to avoid increase in PHT and to maintain systemic vascular resistance.
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