Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-22T20:49:53.423Z Has data issue: false hasContentIssue false
  • English
  • Français

Continuous spinal anaesthesia for partial gastrectomy in an adult patient with unrepaired tetralogy of Fallot

Part of: Tetralogy of Fallot (TOF)

Published online by Cambridge University Press:  04 June 2019

Joana S. Corda Teixeira Open the ORCID record for Joana S. Corda Teixeira [Opens in a new window] ,
Mariana J. D. Correia ,
Andrea Haas  and
António Tralhão
Joana S. Corda Teixeira*
Affiliation:
Department of Anesthesiology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
Mariana J. D. Correia
Affiliation:
Department of Anesthesiology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
Andrea Haas
Affiliation:
Department of Anesthesiology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
António Tralhão
Affiliation:
Department of Cardiology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
*
Author for correspondence: J. S. C. Teixeira, Department of Anesthesiology, Centro Hospitalar de Lisboa Ocidental EPE, Avenida Almirante Reis, nº100, 6ºesq, 1150-022 Arroios, Lisboa, Portugal. Tel: +351964675271; E-mail: joana.corda@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Correction of tetralogy of Fallot during infancy usually eliminates the risks associated with general anaesthesia. In rare cases of uncorrected defects persisting into adulthood, anaesthetic management during non-cardiac surgery may therefore be challenging. We describe the use of continuous spinal anaesthesia to successfully circumvent the operative risk of major abdominal surgery in an adult patient with uncorrected tetralogy of Fallot.

Keywords

Tetralogy of Fallotcyanotic congenital heart diseasecontinuous spinal anaesthesiagastrectomy
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 6 , June 2019 , pp. 845 - 846
Check for updates
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Zabala, LM, Guzzetta, NA. Cyanotic congenital heart disease (CCHD): focus on hypoxemia, secondary erythrocytosis, and coagulation alterations. Pediatr Anaesth 2015; 25: 981–989. doi: 10.1111/pan.12705.CrossRefGoogle ScholarPubMed
Saber, R, Metainy, SEL. Continuous spinal anesthesia versus single small dose bupivacaine – fentanyl spinal anesthesia in high risk elderly patients: a randomized controlled trial. Egypt J Anaesth 2015; 31: 233–238. doi: 10.1016/j.egja.2015.03.006.CrossRefGoogle Scholar
Klimscha, W, Weinstabl, C, Ilias, W, et al. Continuous spinal anesthesia with a microcatheter and low-dose bupivacaine decreases the hemodynamic effects of centroneuraxia blocks in elderly patients. Anesth Analg 1993; 77: 275–280.CrossRefGoogle ScholarPubMed
Sztark, F, Petitjean, ME. Hemodynamic effects of spinal anesthesia in the elderly: single dose versus titration through a catheter. Anesth Analg 1996; 82: 312–316.Google Scholar
Sutter, P, Gamulin, Z, Forster, A. Comparison of continuous spinal and continuous epidural anaesthesia for lower limb surgery in elderly patients. Anaesthesia 1989; 44: 47–50.CrossRefGoogle ScholarPubMed
McKenzie, C, Carvalho, B, Riley, E. The Wiley spinal catheter-over-needle system for continuous spinal anesthesia. Reg Anesth Pain Med 2016; 41: 405–410.CrossRefGoogle ScholarPubMed
Dresner, M, Pinder, A. Anaesthesia for caesarean section in women with complex cardiac disease: 34 cases using the Braun Spinocath spinal catheter. Int J Obstet Anesth 2009; 18: 131–136. doi: 10.1016/j.ijoa.2008.09.009.CrossRefGoogle ScholarPubMed