[Anesthesia in a patient with along-standing congenital heart malformation of the complete atrioventricular canal type for non-cardiac surgery].
Atrioventricular canal defects are a class of malformation attributable to anomalies in embryonic development of the anterior and posterior endocardial cushions. In the absence of surgical correction, death usually ensues in the first few years of life. Defects as severe as those observed in our patient are rare in adults. We describe the anesthetic management (epidural anesthesia with spontaneous ventilation by laryngeal mask) for a 46-year-old woman with this malformation who underwent emergency laparotomy.
Higuera Miguélez
E
E
Servicio de Anestesiología, Hospital de León.
Pérez Villafañe
A
A
Llorente de la Fuente
A
A
Lastra
J A
JA
D000006:Abdomen, Acute / Q000209:etiology / Q000601:surgery*; D000767:Anesthesia, Epidural; D000779:Anesthetics, Local / Q000494:pharmacology; D018269:Carcinoma, Endometrioid / Q000150:complications / Q000601:surgery*; D003951:Diagnostic Errors; D004630:Emergencies; D004694:Endocardial Cushion Defects / Q000150:complications* / Q000503:physiopathology; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000503:physiopathology; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D007813:Laparotomy; D017214:Laryngeal Masks; D008875:Middle Aged; D010048:Ovarian Cysts / Q000175:diagnosis; D010051:Ovarian Neoplasms / Q000150:complications / Q000601:surgery*; D010052:Ovariectomy; D014655:Vascular Resistance / Q000187:drug effects
D000779:Anesthetics, Local