perioperative management of bariatric surgery in a patient with transposition of the great arteries following an atrial level switch
نویسندگان
چکیده
introduction patients with palliated congenital heart disease may present later in life for major, non-cardiac surgical procedures. although alternative surgical techniques are now available for the treatment of the transposition of the great arteries (tga), an atrial level baffle (mustard or senning procedure) was previously performed. long-term adverse effects of the atrial level switch include myocardial dysfunction, rhythm disturbances requiring pacemaker placement, pulmonary hypertension and baffle obstruction. case report we present a 23-year-old woman, who had undergone an atrial level switch during infancy for palliation of tga and now presents for laparoscopic vertical sleeve gastrectomy for the treatment of obesity. conclusions the long term end-organ effects of an atrial level switch for tga are reviewed and the perioperative of these patients is discussed.
منابع مشابه
A 33-day-old Infant with the Transposition of the Great Arteries; A Rare Case Report
Dextro-transposition of the great arteries (d-TGA) is the one most common cyanotic congenital heart disease in neonates. The discordant ventriculoarterial arrangement results in parallel circulation, it so is vital to understand the management. We report a rare interesting but critical case of 33-day-old boy who developed cyanosis and had transposition of great arteries combined with interrupte...
متن کاملan investigation of the types of text reduction in subtitling: a case study of the persian film gilaneh with english subtitles
چکیده ندارد.
15 صفحه اولCardiovascular magnetic resonance evaluation of patients with transposition of the great arteries following atrial switch surgical correction.
We present a method of imaging patients with surgically corrected transposition of the great arteries using cardiac magnetic resonance imaging and we describe the findings from a typical case. Cardiac magnetic resonance is superior to other imaging methods for patients with complex congenital heart diseases, both for establishing the initial diagnosis and for subsequent follow-up after surgical...
متن کاملBipolar ablation of ventricular tachycardia in a patient after atrial switch operation for dextro-transposition of the great arteries.
A 39-year-old man with atrial switch repair (Mustard baffle) and transpulmonary resection of infundibular muscle for dextro-transposition of the great arteries and subpulmonary stenosis was referred for ablation of a drug-refractory monomorphic ventricular tachycardia (VT). Before the ablation, the patient underwent multidetector CT to detect anomalous coronary anatomy (Figure 1A–1C) and contra...
متن کاملHeart transplantation in atrial switch and in congenitally corrected transposition of the great arteries
Background Patients with congenitally corrected transposition of the great arteries (ccTGA) and those who underwent atrial switch eventually face systemic ventricular failure due to deterioration of the morphological and structural function. Heart transplantation is at present one of the two best available options. We report our institutional experience of heart transplantation in this group, w...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
journal of minimally invasive surgical sciencesجلد ۳، شماره ۱، صفحات ۰-۰
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023