Ebstejn's anomaly in patients perioperative period during a non-cardiac surgery operation

Praxis Medica

Ivošević Tjaša¹  Mirić Ljubiša²  Smiljković Tijana²  Mirić Slađana³  Perić Vladan⁴ 

[1] Klinički Centar Srbije, Centar za anesteziju i reanimaciju, Beograd, Serbia;Opšta bolnica Kruševac, Služba anestezije, reanimacije i intezivne terapije, Serbia;Opšta bolnica, Interno odeljenje, Odsek kardiologije, Serbia;Univerzitet u Prištini sa sedištem u Kosovskoj Mitrovici, Medicinski fakultet, Serbia;

关键词: congenital heart diseases;    ebstein anomaly;    preoperative preparation;    non-cardiac surgery;    echocardiography;   

DOI  :  10.5937/pramed2004055M

来源: DOAJ

【 摘 要 】

Introduction: Ebstein anomaly, a congenital heart defect characterized by a morphological and functional abnormality of the tricuspid valvula while moving the mouth of the tricuspid valvula towards the apex of the right chamber. Case report: A patient aged 39 years on the Department of Surgery was admitted under the image of an acute abdomen and the need for emergency surgical treatment. Routine preoperative preparation, laboratory treatment, examination of internist and examination of anesthesiologist on the part of the part was carried out. He has a history of occasional breathing problems during respiratory infection, a smoker. Clinical status, other than primary problems, is orderly. Operational treatment passed neatly, on the fourth postoperative day the patient complained of suffocation, lack of air and chest pain, translated into intensive care monitored (spo2 87% f about 110/min TA 90/60), blood gas analysis done and laboratory treatment (fibrinogen, D dimer) due to suspected pulmonary thromboembolia consulted cardiologist, dilation of the right atrium seen by ultrasound. Discussion: Non-cardiac surgeries in patients with pre-existing congenital heart defects are high-risk surgeries with increased mobility and mortality in the perioperative period. In accordance with the accompanying pathoanatomical and pathophysiological changes that define the congenital heart defect, a detailed plan must be made - anesthesiological management for each patient separately. Hemodynamic and respiratory stability with avoidance of hypoxia and paradoxical arrhythmias are the basic postulates in patients with Ebstein's anomaly.

【 授权许可】

Unknown