Anesthetic implications of total anomalous systemic venous connection to left atrium with left isomerism.
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Date
2012-04
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Abstract
Total anomalous systemic venous connection (TASVC) to the left atrium (LA) is a rare congenital anomaly. An 11-year-old girl presented with complaints of palpitations and cyanosis. TASVC with left isomerism and noncompaction of LV was diagnosed after contrast echocardiogram and computed tomography angiogram. The knowledge of anatomy and pathophysiology is essential for the successful management of these cases. Anesthetic concerns in this case were polycythemia, paradoxical embolism and rhythm abnormalities. The patient was successfully operated by rerouting the systemic venous connection to the right atrium.
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Keywords
Anomalous systemic venous connection, left isomerism, noncompaction of left ventricle
Citation
Simha Parimala Prasanna, Patel Muralidhara Danappa, Jagadeesh A M. Anesthetic implications of total anomalous systemic venous connection to left atrium with left isomerism. Annals of Cardiac Anaesthesia. 2012 Apr; 15(2): 134-137.