Case of Uncorrected and Inoperable Tetralogy of Fallot with Pulmonary Atresia and Major Aorto Pulmonary Collaterals with Anorectal Malformation - Anesthetic Management Mimicking the Pathophysiology in a Limited Cardiac Resource Centre

Madhumitha Veeren Herady* and Anuradha Ganigara

Department of Pediatric Anesthesia, Indira Gandhi Institute of Child Health, India

^*Correspondance to: Madhumitha Veeren Herady 

 PDF  Full Text Case Report | Open Access

Abstract:

We report a case of a 7 year old girl with anorectal malformation and uncorrected Tetralogy of Fallot with pulmonary atresia and major aortopulmonary collateral arteries posted for surgery. Based on the pathophysiology of the congenital cardiac lesion and low lying anorectal malformation, anoplasty was performed under general anesthesia with single shot epidural analgesia. We highlight the various pathophysiological mechanisms to be considered while tailoring anesthesia management for a complex rare uncorrected congenital cardiac lesion in a child.

Keywords:

Tetralogy of Fallot; Pulmonary atresia; Major aortopulmonary collaterals; Anorectal malformation; Anesthesia; Epidural anesthesia

Cite the Article:

Herady MV, Ganigara A. Case of Uncorrected and Inoperable Tetralogy of Fallot with Pulmonary Atresia and Major Aorto Pulmonary Collaterals with Anorectal Malformation - Anesthetic Management Mimicking the Pathophysiology in a Limited Cardiac Resource Centre. Ann Clin Case Rep. 2020; 5: 1831. ISSN: 2474-1655.