title: The diagnostic process and perioperative and anesthetic management of an undiagnosed congenital cyanotic cardiac defect in an adult for trauma surgery.
abstract: A 39-year-old patient awaiting emergency surgery due to a crush foot injury, with an undiagnosed cyanotic cardiac lesion that was diagnosed later as a complete atrioventricular canal defect, is presented. Complete atrioventricular canal defects usually present in the first few months of life and can be fatal if not treated in the first few years. Adult patients with congenital cardiac malformations seem to be at increased risk for noncardiac surgery. The diagnostic process, perioperative management, and anesthetic implications are discussed.
authors.affiliation: Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610-0254, USA.
authors.forename: Tim
authors.initials: T
authors.lastname: Litofe
authors.forename: Jochen
authors.initials: J
authors.lastname: Muehlschlegel
authors.forename: Yong
authors.initials: Y
authors.lastname: Peng
authors.forename: Avner
authors.initials: A
authors.lastname: Sidi
authors.forename: Mark S
authors.initials: MS
authors.lastname: Bleiweis
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods; D003490:Cyanosis / Q000175:diagnosis* / Q000209:etiology; D018409:Foot Injuries / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis*; D006801:Humans; D008297:Male; D019990:Perioperative Care / Q000379:methods