Perioperative management of a patient with Dandy Walker malformation with tetralogy of Fallot undergoing total correction and fresh homologous pericardial pulmonary valve conduit implantation: Report of a rare case.
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Date
2015-07
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Abstract
Perioperative management of a patient with Dandy–Walker malformation (DWM) with tetralogy of Fallot (TOF),
patent ductus arteriosus, and pulmonary artery stenosis is a great challenge to the anesthesiologist. Anesthetic
management in such patients can trigger tet spells that might rapidly increase intracranial pressure (ICP),
conning and even death. The increase in ICP can precipitate tet spells and further brain hypoxia. To avoid an
increase in ICP during TOF corrective surgery ventriculo‑peritoneal (VP) shunt should be performed before
cardiac surgery. We present the first case report of a 11‑month‑old male baby afflicted with DWM and TOF
who underwent successful TOF total corrective surgery and fresh autologous pericardial pulmonary valve
conduit implantation under cardiopulmonary bypass after 1 week of VP shunt insertion.
Description
Keywords
Anesthetic management, Cardiopulmonary bypass, Dandy–Walker malformation, Homologous pulmonary valve conduit, Tetralogy of Fallot
Citation
Datt Vishnu, Tempe D K, Lalwani Parin, Aggarwal Saket, Kumar Pradeep, Diwakar Anitha, Tomar A S. Perioperative management of a patient with Dandy Walker malformation with tetralogy of Fallot undergoing total correction and fresh homologous pericardial pulmonary valve conduit implantation: Report of a rare case. Annals of Cardiac Anaesthesia. 2015 Jul; 18(3): 433-436.