Anesthetic Management for Non-Cardiac Surgery in an Adult with Uncorrected Tetralogy of Fallot and Interatrial Defect - Abstract
Anesthetic management of patient with uncorrected tetralogy of Fallot is a major challenge, especially in developing countries. In these countries, congenital heart diseases are often diagnosed when complications occur. Diagnostic and treatment equipments and medicines are not easily available. We present a case of 30 years old male adult who was scheduled for elective surgical repair of left femoral fracture. He presented with 3 months history of a neglected femoral fracture, associated with language disorder, right hemiparesia due to cerebral abscess and severe hypoxia. During pre anesthetic check-up, an assessment with echocardiography diagnosed a tetralogy of Fallot with interatrial defect. A multidisciplinary discussion involving cardiologists, trauma surgeons, intensivists, anesthesiologists was held. Patient was successfully operated under general anesthesia. After 24 hours of post operative intensive care, he was shifted to the trauma and orthopedics ward and discharged from hospital on 22nd post operative day.