The diagnostic process and perioperative and anesthetic management of an undiagnosed congenital cyanotic cardiac defect in an adult for trauma surgery
Received 10 September 2007; received in revised form 22 September 2008; accepted 11 October 2008. published online 16 April 2009.
Abstract
A 39-year-old patient awaiting emergency surgery due to a crush foot injury, with an undiagnosed cyanotic cardiac lesion that was diagnosed later as a complete atrioventricular canal defect, is presented. Complete atrioventricular canal defects usually present in the first few months of life and can be fatal if not treated in the first few years. Adult patients with congenital cardiac malformations seem to be at increased risk for noncardiac surgery. The diagnostic process, perioperative management, and anesthetic implications are discussed.
Series Editors: A. Joseph Layon, MD • Michael E. Mahla, MD Associate Series Editors: Lawrence Caruso, MD • Andrea Gabrielli, MD
Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610-0254, USA
Holder of the William G. Lassiter, Jr., and Aneice R. Lassiter Professorship; Director, Congenital Heart Center, University of Florida College of Medicine at Gainesville, and Shands Hospital, Gainesville, FL
Corresponding author. Department of Anesthesiology, University of Florida College of Medicine, Box 100254, Gainesville, FL 32610-0254, USA. Tel.: +1 352 273 6575; fax: +1 352 392 7029.
ABSTRACT