Neurosurgical Emergency in an Adult With Single Ventricle Physiology: A Case Report.

Abstract

The anesthetic management of a patient with uncorrected congenital heart disease presenting for noncardiac surgery is quite challenging. When this becomes a neurosurgical emergency, the need to balance cerebral and complex circulatory physiologies tests the anesthesiologist's preparedness. The principal clinical challenges we faced were preventing increases in intracranial pressure while maintaining the circulatory physiology using the "cardiac grid" approach to hemodynamic management in a case of acyanotic double outlet right ventricle with a posterior fossa space-occupying lesion. Point of care preoperative echocardiography enabled us to understand the altered circulatory physiology and successfully manage this patient.

• Authors: Aparna Depuru, Michelle Shirin Lazar, Naveen B Naik, Venkata Ganesh, Ajay Singh, Deepkanth Gorla
• Journal: A&A practice (A A Pract) Vol. 16 Issue 1 Pg. e01558 (Jan 18 2022) ISSN: 2575-3126 [Electronic] United States
• PMID: 35050907 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2022 International Anesthesia Research Society.

Topics

• Adult
• Double Outlet Right Ventricle
• Heart Defects, Congenital (diagnostic imaging, surgery)
• Heart Ventricles (diagnostic imaging, surgery)
• Hemodynamics
• Humans