Anesthetic Management in an Infant with Dandy–Walker Syndrome Presenting with Acyanotic Heart Disease and Hydrocephalous Post-COVID-19 Recovery: A Rare Experience

Abstract We report a case of hydrocephalus with Dandy–Walker malformation in 2-month-old girl child recently recovered from COVID-19. The was detected to have acyanotic heart disease left-to-right shunt and severe pulmonary arterial hypertension during the preoperative evaluation process for ventriculoperitoneal (VP) placement. share our experience perioperative management artery banding (PAB) patent ductus arteriosus ligation as part staged cardiac corrective surgery, followed by VP relieve single setting. Our focused on preservation normal cerebral physiology prevent rise intracranial pressure pressure. A multidisciplinary team, consisting cardiac- neuroanesthesiologists neurosurgeons, involved case. Diligent maintenance airway, stable hemodynamics, meticulous ventilation, along postoperative ICU helped successful outcome this unique