Pneumonectomy in a patient with ventricular septal defect.
A young man with severe unilateral bronchiectasis and a ventricular septal defect presented for pneumonectomy. Intra-operative monitoring, which included continuous measurement of systemic and pulmonary oxygen saturations by oximetry, revealed transient reversal of the intracardiac shunt across the defect. The implications of this combination of cardiac and pulmonary disease for anaesthetic management are discussed.
MacGillivray
R G
RG
Department of Anaesthetics, Wentworth Hospital, Durban, Republic of South Africa.
Rocke
D A
DA
Shama
D M
DM
Mitha
A S
AS
D000328:Adult; D000768:Anesthesia, General; D001987:Bronchiectasis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010092:Oximetry; D011013:Pneumonectomy