scholarly journals Anesthesia for cesarean in pregnant with uncorrected failot tetralogy

2021 ◽  
Vol 12 (6) ◽  
pp. 391-393
Author(s):  
Ana Leslie Tijero Espinoza ◽  
Dante Junior Segura Pinedo ◽  
Sandoval Valiente Luis Enrique
Keyword(s):  
Congenital Heart Disease ◽  
Pregnant Woman ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Anesthetic Technique ◽  
Spinal Block ◽  
Hemodynamic Changes ◽  
Spinal Epidural ◽  
Organ Complications

Tetralogy of Fallot is the most common cyanotic congenital heart disease. Hemodynamic changes can cause serious and fatal multi-organ complications, the choice of anesthesia is very difficult.Combined spinal epidural techniques have become an alternative to traditional neuraxial interventions; the advantages of spinal or subarachnoid block are fused with the flexibility of the epidural technique; they offer a fast, effective and minimally toxic spinal block, improve inadequate block, and prolong the duration of anesthesia with epidural supplements.The purpose of this article is to report the case of a pregnant woman with a diagnosis of uncorrected Tetralogy of Fallot and the anesthetic technique of effective establishment without producing harmful hemodynamic changes for the mother-child binomial.

Endothelial function state following repair of cyanotic congenital heart diseases

2013 ◽  
Vol 25 (2) ◽  
pp. 222-227 ◽  
Author(s):  
Mohammad Reza Sabri ◽  
Hooman Daryoushi ◽  
Mojgan Gharipour
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Endothelial Function ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Vascular Endothelial ◽  
Vascular Endothelial Function ◽  
Flow Mediated Dilatation ◽  
The Mean

AbstractBackgroundRepairing cyanotic congenital heart disease may be associated with preserving endothelial function. The present study aimed to evaluate vascular endothelial function in patients with repaired cyanotic congenital heart disease.MethodsIn a case–control study conducted in 2012 in Isfahan, Iran, 42 consecutive patients aged <35 years who had suffered from different types of cyanotic congenital heart disease and had undergone complete repair of their congenital heart defect were assessed in regard to their endothelial function state by measuring flow-mediated dilatation and other cardiac function indices. They were paired with 42 sex- and age-matched healthy controls.ResultsThe mean flow-mediated dilatation was lower in patients with repaired cyanotic congenital heart disease than in the controls [6.14±2.78 versus 8.16±1.49 respectively (p<0.001)]. Significant adverse correlations were found between flow-mediated dilatation, age, and body mass indexes, in those who underwent repair surgery. In addition, flow-mediated dilatation had a positive association with the shortening fraction, ejection fraction, and tricuspid annular plane systolic excursion value, and it was also inversely associated with carotid intima-media thickness and the myocardial performance index. The mean of the flow-mediated dilatation was significantly higher in the group with tetralogy of Fallot along with complete repair before the age of 2.5 years and also in those patients with total anomalous pulmonary venous connection or transposition of the great arteries repaired with an arterial switch operation before 6 months of age, compared with the other two subgroups. This includes patients with a tetralogy of Fallot defect repaired after 4 years of age and those with complex cyanotic congenital heart disease that was repaired after 2.5 years of age (mean age at repair 9±6.1 years).ConclusionEarly repair of a cyanotic defect can result in the protection of vascular endothelial function and prevent the occurrence of vascular accidents at an older age.

scholarly journals Uncorrected Tetralogy of Fallot in a 25-Year Old Nigerian African

2011 ◽  
Vol 4 ◽  
pp. CCRep.S6805 ◽  
Author(s):  
Dike B. Ojji ◽  
Akinola O. Babalola ◽  
Ayodele O. Falase
Keyword(s):  
Congenital Heart Disease ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Ventricular Hypertrophy ◽  
Left Ventricular ◽  
Cyanotic Congenital Heart Disease ◽  
Corrective Surgery ◽  
Mammary Arteries ◽  
Pulmonary Shunting ◽  
Internal Mammary

Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. Survival after the age of 12 years without corrective surgery is rare. We present the case of a 25 year-old man with uncorrected tetralogy of Fallot. Possible reasons for the longetivity in this patient are left ventricular hypertrophy and systemic to pulmonary shunting through internal mammary arteries.

Pregnancy Management in a Parturient with Tetralogy of Fallot

2018 ◽  
pp. 257-266
Author(s):  
Yi Deng ◽  
Shobana Murugan
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Life Expectancy ◽  
Tetralogy Of Fallot ◽  
Lower Risk ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Cardiovascular Changes ◽  
The Past

Tetralogy of Fallot (ToF) is the most prevalent cyanotic congenital heart disease (CHD) at birth and is also the most common repaired cyanotic CHD encountered as an adult. Over the past several decades surgical improvement has made great strides in lowering morbidity/mortality and extending life expectancy of these patients, and most will reach adulthood and achieve pregnancy. Management of a parturient with either repaired or unrepaired ToF must be individualized and requires thorough workup and participation from multiple disciplines, but overall outcomes can be excellent with lower risk to mother and fetus compared to other types of cyanotic CHD. Because many parturients with repaired ToF have clinically silent disease until late, it is imperative for anesthesiologists to familiarize themselves with potential complications and pitfalls regarding cardiovascular changes during pregnancy and how they affect peripartum CHD management.

Cerebral abscess in children with cyanotic congenital heart disease

1997 ◽  
Vol 7 (4) ◽  
pp. 383-387
Author(s):  
Kemal Baysal ◽  
Fadil Öztürk ◽  
Serap Uysal ◽  
Recep Sancak ◽  
Nuran Gürses
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Surgical Techniques ◽  
Cyanotic Congenital Heart Disease ◽  
Cerebral Abscess ◽  
Parietal Region ◽  
Mortality And Morbidity ◽  
Complete Transposition

AbstractThe cerebral abscess still occurs in children with cyanotic congenital heart disease. Mortality and morbidity have not yet been reduced in spite of new antibiotics and surgical techniques. We describe our experience with 185 patients having cyanotic congenital heart disease (117 with tetralogy of Fallot, 23 with complete transposition, 9 with tricuspid atresia, 4 with total abnormal venous return, 10 with double-inlet ventricle, 15 with double-outlet right ventricle and 7 with common arterial trunk) who have been followed regularly in our department. Their ages ranged between 3 years and 15 years. During the period of follow-up, cerebral abscess developed in 7 cases. Six of them had tetralogy of Fallot and one had complete transposition. One patient died before surgery could be performed. Operation was carried out in 6 patients and one died in the early postoperative stage. The others were as healthy as could be expected. Alpha-hemolytic streptococcus was isolated from the abscess in one patient, and Enterobacter in another. The abscesses were localized in the occipito-parietal region in 2 cases, the fronto-parietal region in 2 cases, and the parietal, temporal and occipital regions in one case each. Physical examination was normal apart from fever in 5 patients and, in these patients, the cause of fever could not be explained. Neurologic evaluations were all within normal range. If fever occurs unexpectedly in a patient with cyanotic congenital heart disease, therefore, it is important to rule out the possibility of a cerebral abscess.

scholarly journals TETRALOGY OF FALLOT IN ADULT;

2017 ◽  
Vol 24 (09) ◽  
pp. 1447-1449
Author(s):  
Abid Rafiq Chaudhry ◽  
Mohammad Tageldeine ◽  
Abdulrahman Abdulaziz Al Mesnid
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Survival Rate ◽  
Right Ventricular ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Blood Flows ◽  
Full Correction

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease inchildren but occurs rarely in adults. The extent of cyanosis depends on the balance of systemicand pulmonary vascular resistance, which depends on the severity of right ventricular outletobstruction.3 The more severe the obstruction, the more blood flows into the left side causingdesaturation and cyanosis. The survival rate of patients who receive surgical full correction isabout 86% at 32 years follow-up and 85% at 36 years follow up.

scholarly journals Trans-atrial, Trans-pulmonary Repair of Tetralogy of Fallot in Older Children and Adults:

2004 ◽  
Vol 3 (3) ◽  
pp. 67
Author(s):  
B Koirala ◽  
R Koirala ◽  
J Sharma ◽  
S Pradhan ◽  
A Acharya ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Retrospective Study ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Surgical Repair ◽  
Cyanotic Congenital Heart Disease ◽  
Favorable Outcome ◽  
Older Children ◽  
National Heart

Tetralogy of Fallot is the most common cyanotic congenital heart disease and has an favorable outcome if dealt with in time. Here we present the retrospective study of immediate outcome of surgical repair of Fallot's Tetralogy carried out at Shahid Gangalal National Heart Centre, Kathmandu, Nepal.

scholarly journals Development of nephropathy in an adult patient after Fontan palliation for cyanotic congenital heart disease

2021 ◽  
Author(s):  
Kaori Hayashi ◽  
Akinori Hashiguchi ◽  
Masako Ikemiyagi ◽  
Hirobumi Tokuyama ◽  
Shu Wakino ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Adult Patient ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Fontan Palliation
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