CASE REPORT
Year : 2016  |  Volume : 9  |  Issue : 6  |  Page : 768-770

A case of uncorrected adult tetralogy of Fallot for emergency decompressive craniotomy: An anesthetic challenge!!


Department of Anaesthesiology, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India

Correspondence Address:
Amruta Vinod Hippalgaonkar
Plot No. 707, Sahyadri Nagar, N-5, CIDCO, Aurangabad - 431 003. Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.194230

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Cyanotic heart disease (CHD) includes those anatomical heart defects that produce a limitation in pulmonary blood flow or result in mixing of oxygenated and deoxygenated blood. Both conditions lead to decreased blood oxygen content and cyanosis. The most frequent defects seen in the outpatient adult congenital setting include tetralogy of Fallot (TOF). The cardiovascular anatomy and physiology of adult CHD is complex and requires specific knowledge of the defect and its anesthetic implications. Hence, they should receive care with multidisciplinary collaboration among anesthesiologists, cardiologists, surgeons, and intensivists. We hereby report the anesthetic management of such a case of head injury in an adult uncorrected TOF with a good outcome.


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