Bipolar hip arthroplasty in an adult patient with uncorrected tetralogy of fallot: Anesthetic management

Unrepaired tetralogy of fallot in a 58-year-old female: factors contributing to the observed survival (case report)

“…First described in the medical literature by the French physician Etienne-Louis Arthur Fallot in 1888 [ 1 ], TOF stands as the most prevalent cyanotic heart disease, accounting for 10-14% of all congenital heart defects [ 2 , 3 ]. The anterocephalic deviation of the outlet septum, with associated abnormal septoparietal trabeculations, is now recognized as the hallmark of tetralogy [ 4 , 5 ].…”

Laparoscopic surgery in adults with transposition of the great arteries: A report of two cases

“…In a compromised heart dependent on preload, clinicians should avoid spinal blocks as these can lead to decreased systemic vascular resistance and decreased preload, particularly in patients with significant cardiac dysfunction. Epidural anesthesia can be regarded as safe to use as long as it is dosed in a slow and controlled fashion and does not produce pronounced vasodilation [12,18,19]. Additionally, the coagulation status of patients receiving epidural anesthesia must be normalized prior to performing a neuraxial procedure, which can be challenging in patients taking anticoagulants.…”

Repair of late-presenting right Bochdalek hernia in a patient with uncorrected tetralogy of Fallot: Anaesthetic management

“…Anaesthesia for patients with isolated tetralogy of Fallot (TOF) or late presenting congenital diaphragmatic hernia (Lp-CDH) can be challenging. [ 1 2 3 ] No publications on anaesthetic care of patients with concurrent TOF and Lp-CDH were found on thorough literature search.…”

“…Peri-operative haemodynamic goals (e.g., maintenance of normovolaemia, avoidance of decrease in systemic vascular resistance and increase in pulmonary vascular resistance) and management of hypercyanotic spell in patients with TOF has been well described. [ 1 2 3 ] The first and the last hypercyanotic spell in this case was presumed to be because of increased sympathomimetic activity arising from tracheal intubation and extubation, respectively, leading to right ventricular tract (RVOT) obstruction. As sudden decrease of ETCO 2 may be seen in both RVOT obstruction and myocardial depression, we did not increase the concentration of isoflurane during the second hypercyanotic spell.…”