title: Anesthetic Management of a Tracheoesophageal Fistula in a Patient With a Large Uncorrected Aortopulmonary Window: A Case Report.
abstract: Aortopulmonary window is a rare form of congenital heart disease that requires significant anesthetic considerations. Cardiac involvement is a well-known comorbidity identified in patients with tracheoesophageal fistula (TEF). Identification of coexisting lesions, specifically congenital heart disease, is crucial before undergoing repair of a TEF. Understanding the complex physiology and expected changes occurring during the anesthetic and surgical intervention for correction of TEF with a significant unrepaired shunting defect is crucial to prevent hemodynamic instability. We present the anesthetic management of a 1-day-old neonate with a postnatally diagnosed aortopulmonary window for correction of a TEF.
authors.affiliation: From the *Department of Anesthesiology, Perioperative and Pain Medicine, Division of Cardiovascular Anesthesiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas; †The Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, Division of Cardiothoracic Anesthesiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; and ‡The Children's Hospital of Philadelphia, Departments of Anesthesiology and Critical Care Medicine and Cardiology, Division of Cardiothoracic Anesthesiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Adam C
authors.initials: AC
authors.lastname: Adler
authors.forename: James M
authors.initials: JM
authors.lastname: Steven
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Jolley
mesh_terms: D000768:Anesthesia, General / Q000379:methods; D000777:Anesthetics / Q000008:administration & dosage*; D015897:Comorbidity; D004452:Echocardiography; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities; D013908:Thoracotomy / Q000379:methods*; D014138:Tracheoesophageal Fistula / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000777:Anesthetics