title: Continuous spinal anaesthesia for a total hip arthroplasty in a patient with an atrial septal defect.
abstract: Atrial septal defect (ASD) is often diagnosed and repaired during childhood. Nevertheless, it is the most common congenital cardiac defect seen in adults. ASD is characterized by a left-to-right intracardiac shunt and pulmonary hypertension. Pulmonary hypertension increases perioperative risks of morbidity and mortality. We report the anaesthetic management of a 68-year-old woman with an unrepaired ASD, who underwent a total hip arthroplasty under continuous spinal anaesthesia.
authors: Department of Anesthesiology, Toulouse University Hospital, Toulouse, France. lonjaret.l@chu-toulouse.fr
authors: Laurent
authors: L
authors: Lonjaret
authors: Olivier
authors: O
authors: Lairez
authors: Vincent
authors: V
authors: Minville
mesh_terms: D000368:Aged; D000775:Anesthesia, Spinal / Q000379:methods*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000503:physiopathology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000209:etiology