|
KMID : 0367219950120020173
|
|
Sejong Medical Journal
1995 Volume.12 No. 2 p.173 ~ p.0
|
|
|
A Case of General Anesthesia for the Patient of Atrial Septal Deect with Diffuse Congenital Tracheal Stenosis
|
|
|
|
|
Abstract
|
|
|
Congenital tracheal stenosis(CTS) is a rare anomaly that is almost invariably ssociated congenital vascular anomaly such as vascular ring. Left pulmonary artery sling and septal defects of the heart etc. Usually, concomittant repair of CTS and
complex
cardiac anomaly has been advocated under cardiopulmonary bypass despite considerable mortality.
We have experienced a general anesthesia for the patient of atrial septal defect with diffuse CTS. Chest CT revealed the narrowest tracheal lumen was less than 4㎜.
The patient was 8 years old girl and weighed 21㎏. Pre-operative cardiac and respiratory.
Problems were not remarkable.
She had a history of trial of operation for ASD closure at some other university hospital about one year ago. But at that time, with unknown reason. intubation was failed so she was transferred to us.
Under pulse oximeter, capnography, and EKG monitoring anesthesia was induced with fentanyl, midazolam and sleeping dose of pentothal. We intubated ID 4.5㎜ endotracheal tube without any great difficulties but with only some feeling of resistance.
Ventilation was not difficult except elevation of peak inspiratory pressure up to 35㎝ H2O.
Anesthesia was maintained with isoflurane -fentanyl -midazolam -piperocuronium. Operation and anesthesia were not eventful and only ASD closure was done under cardiopulmonary bypass.
There were not any perioperative ABG abnormalities. She was discharged post-op 8 days without any respiratory problem. We informed the patient tracheal stenosis should be follow up regularly.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|