[Anesthesia for the surgery of delayed postoperative stenosis in the pulmonary suture in children with corrected transposition of the great vessels with Jatene's technique].
Any patient with congenital heart disease is at high risk for anesthesia no matter what surgical procedure is performed. Children undergoing D-transposition of the great arteries using Jatene's technique present stenosis of the pulmonary artery in 10-20% of cases and may require surgery to correct that or some other surgically caused anomally. In either case the children must be managed as patients with heart disease, with special attention to cardiovascular depression and rhythm abnormalities. We report the cases of two children who underwent D-transposition of the great arteries in the neonatal period using Jatene's anatomical technique. They were later anesthetized at ages 5 and 6 years to correct pulmonary suture stenosis. Recovery was good.
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Servicio de Anestesiología y Reanimación, Hospital Infantil Virgen del Rocío, Sevilla.
Cerro
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Ojeda
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García-Perla
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D002648:Child; D002675:Child, Preschool; D003251:Constriction, Pathologic / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011651:Pulmonary Artery / Q000601:surgery*; D012086:Reoperation; D013536:Suture Techniques / Q000009:adverse effects*; D013997:Time Factors; D014188:Transposition of Great Vessels / Q000601:surgery*