Anaesthetic management and outcomes in patients with surgically corrected D-transposition of the great arteries undergoing non-cardiac surgery

British Journal of Anaesthesia
R E ChristensenS Malviya

Abstract

Patients with effective repair of D-transposition of the great arteries (D-TGA) increasingly present for non-cardiac surgery. These patients may be predisposed to heart failure, arrhythmias, and sudden death, especially after the atrial switch repair. This retrospective study was undertaken to review the care and outcomes of patients with D-TGA who presented for non-cardiac surgery. Records for patients with surgically corrected D-TGA undergoing general anaesthesia for non-cardiac surgery between October 2000 and April 2008 were reviewed. The anaesthesiology records, operative note, admission history and physical examination records, and discharge summaries of these patients were reviewed and the following data collected: patient characteristics; comorbidities; surgical procedure; anaesthetic and monitoring techniques; intra- and postoperative complications; and admission status. Fifty procedures, including 43 in the paediatric setting and seven in the adult setting, comprised the final sample. The majority of these patients received anaesthesia on an outpatient basis in the paediatric hospital, without invasive monitoring and without complication. There were four adverse events including a significant bradycardia, failed extub...Continue Reading

References

Feb 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·L A RhodesE P Walsh
Apr 1, 1997·British Journal of Anaesthesia·D Findlow, E Doyle
Dec 10, 1999·The Annals of Thoracic Surgery·F HaasH Meisner
Jan 29, 2000·The New England Journal of Medicine·M E BricknerR A Lange
Mar 7, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Akira YamazakiHiromi Kurosawa
Apr 2, 2008·Congenital Heart Disease·Eric S Ebenroth, Roger A Hurwitz

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Citations

Aug 21, 2013·Saudi Journal of Anaesthesia·Shaji MathewNataraj Madagondapalli Srinivasan
Oct 4, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Maulin U VoraNicholas W Markin
May 5, 2017·Health Services Insights·Arsalan RafiqJonathan N Bella

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