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Reading: Anaesthesia in a child with uncorrected aortopulmonary window for non-cardiac surgery

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Anaesthesia in a child with uncorrected aortopulmonary window for non-cardiac surgery

Authors:

Malavika Kulkarni ,

Kasturba Medical College, Manipal, IN
About Malavika
Associate Professor, Department of Anaesthesia
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T. K. Sushma,

Kasturba Medical College, Manipal, IN
About T. K.
Assistant Professor, Department of Anaesthesia
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Avinash Shastry

Kasturba Medical College, Manipal, IN
About Avinash
Postgraduate student, Department of Anaesthesia
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Abstract

Aortopulmonary window (APW) is a rare congenital cardiac anomaly characterized by communication between ascending aorta and main pulmonary artery. It represents between 0.2% and 0.3% of all congenital cardiac lesions. The anaesthetic management of a child with severe pulmonary hypertension associated with right to left shunt is clearly a demanding situation.


A 13 year old boy presented for open reduction and internal fixation of right femur. The child was diagnosed with congenital heart disease, APW with severe irreversible Pulmonary Artery Hypertension (PAH). Anaesthetic management comprised of a balanced approach with administration of general anaesthesia and regional analgesia with perioperative invasive haemodynamic monitoring.

How to Cite: Kulkarni, M., Sushma, T.K. and Shastry, A., 2020. Anaesthesia in a child with uncorrected aortopulmonary window for non-cardiac surgery. Sri Lankan Journal of Anaesthesiology, 28(2), pp.153–155. DOI: http://doi.org/10.4038/slja.v28i2.8532
Published on 30 Jun 2020.
Peer Reviewed

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