title: Anesthetic implications of total anomalous systemic venous connection to left atrium with left isomerism.
abstract: Total anomalous systemic venous connection (TASVC) to the left atrium (LA) is a rare congenital anomaly. An 11-year-old girl presented with complaints of palpitations and cyanosis. TASVC with left isomerism and noncompaction of LV was diagnosed after contrast echocardiogram and computed tomography angiogram. The knowledge of anatomy and pathophysiology is essential for the successful management of these cases. Anesthetic concerns in this case were polycythemia, paradoxical embolism and rhythm abnormalities. The patient was successfully operated by rerouting the systemic venous connection to the right atrium.
authors.affiliation: Department of Cardiac Anaesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences, Bangalore, India. parimalapsimha@gmail.com
authors.forename: Parimala Prasanna
authors.initials: PP
authors.lastname: Simha
authors.forename: Muralidhara Danappa
authors.initials: MD
authors.lastname: Patel
authors.forename: A M
authors.initials: AM
authors.lastname: Jagadeesh
mesh_terms: D000768:Anesthesia, General / Q000379:methods*; D000777:Anesthetics; D001145:Arrhythmias, Cardiac / Q000209:etiology; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D003328:Coronary Thrombosis / Q000150:complications; D003490:Cyanosis / Q000209:etiology; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000002:abnormalities* / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D011086:Polycythemia / Q000150:complications; D011229:Preanesthetic Medication; D011667:Pulmonary Veins / Q000002:abnormalities; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000002:abnormalities*; D014683:Vena Cava, Superior / Q000002:abnormalities
chemical_list: D000777:Anesthetics