title: Ventriculo-peritoneal shunt surgery in an infant with double aortic arch, patent ductus arteriosus and atrial septal defect.
abstract: Double aortic arch with patent ductus arteriosus and atrial septal defect is an uncommon association. Such complex cardiac lesions may complicate an otherwise normal anesthetic course. We came across a case with aqueductal stenosis and hydrocephalus, scheduled for ventriculo-peritoneal shunt surgery, on an emergent basis. The child was managed successfully. The anesthetic implications of resultant left-to-right shunt with increased intracranial pressure have been described.
authors: Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India.
authors: Mandeep
authors: M
authors: Singh
authors: Ashish
authors: A
authors: Bindra
authors: Girija P
authors: GP
authors: Rath
authors: Vishwas
authors: V
authors: Malik
authors: Hemanshu
authors: H
authors: Prabhakar
mesh_terms: D000758:Anesthesia / Q000379:methods*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000601:surgery*; D002535:Cerebral Aqueduct / Q000503:physiopathology; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000601:surgery; D004632:Emergency Medical Services; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000150:complications; D007223:Infant; D008297:Male; D017287:Ventriculoperitoneal Shunt / Q000379:methods*