Anaesthetic Management of Ebstein Anomaly in a Patient with Cleft Palate
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Abstract
Ebstein anomaly is a challenge to the anaesthetist in terms of large right atrium, atrialised right ventricle and various valve abnormalities associated with it like Tricuspid Regurgitation(TR), Mitral Stenosis(MS), Mitral Regurgitation(MR).
In this case study, we report a 14-year-old female child presented with ebstein anomaly and cleft palate in our institution, SMS medical college & hospitals, Jaipur, Rajasthan. Cone’s operation was planned but due to multiple fenestrations in tricuspid leaflet only tricuspid and mitral valves were replaced. Patient was extubated next day with uneventful recovery.
[1] Ross FJ, Latham GJ, Richards M, Geiduschek J, Thompson D, Joffe D. Perioperative and Anesthetic Considerations in Ebstein’s Anomaly. Semin Cardiothorac Vasc Anesth. 2016; 20(1):82–92.
[2] Arizmendi AF, Pineda LF, Jiménez CQ, Azcárate MJM, Sarachaga IH, Urroz E, et al. The clinical profile of Ebstein’s malformation as seen from the fetus to the adult in 52 patients. Cardiol Young. 2004; 14(1):55–63.
[3] Morray B. Preoperative Physiology, Imaging, and Management of Ebstein’s Anomaly of the Tricuspid Valve. Semin Cardiothorac Vasc Anesth. 2016; 20(1):74–81.
[4] Kasatwar A, Borle R, Bhola N, K R, Prasad GSV, Jadhav A. Prevalence of congenital cardiac anomalies in patients with cleft lip and palate – Its implications in surgical management. J Oral Biol Craniofacial Res. 2018; 8(3):241–4.
[5] Choudhuri AH, Uppal R, Khaitan M. Laparoscopic cholecystectomy in a patient with Ebstein’s anomaly: Anesthetic considerations. Saudi J Anaesth. 2012; 6(3):301–2.
[6] Sinha P, Kumar B, Varma P. Anesthetic management for surgical repair of Ebstein′s anomaly along with coexistent Wolff-Parkinson-White syndrome in a patient with severe mitral stenosis. Ann Card Anaesth. 2010; 13(2):154.
[7] Bengtsson IM, Magno R, Wickström I. EBSTEIN’S ANOMALY—ANAESTHETIC PROBLEMS: A case report. Br J Anaesth. 1977; 49(5):501–3.
[2] Arizmendi AF, Pineda LF, Jiménez CQ, Azcárate MJM, Sarachaga IH, Urroz E, et al. The clinical profile of Ebstein’s malformation as seen from the fetus to the adult in 52 patients. Cardiol Young. 2004; 14(1):55–63.
[3] Morray B. Preoperative Physiology, Imaging, and Management of Ebstein’s Anomaly of the Tricuspid Valve. Semin Cardiothorac Vasc Anesth. 2016; 20(1):74–81.
[4] Kasatwar A, Borle R, Bhola N, K R, Prasad GSV, Jadhav A. Prevalence of congenital cardiac anomalies in patients with cleft lip and palate – Its implications in surgical management. J Oral Biol Craniofacial Res. 2018; 8(3):241–4.
[5] Choudhuri AH, Uppal R, Khaitan M. Laparoscopic cholecystectomy in a patient with Ebstein’s anomaly: Anesthetic considerations. Saudi J Anaesth. 2012; 6(3):301–2.
[6] Sinha P, Kumar B, Varma P. Anesthetic management for surgical repair of Ebstein′s anomaly along with coexistent Wolff-Parkinson-White syndrome in a patient with severe mitral stenosis. Ann Card Anaesth. 2010; 13(2):154.
[7] Bengtsson IM, Magno R, Wickström I. EBSTEIN’S ANOMALY—ANAESTHETIC PROBLEMS: A case report. Br J Anaesth. 1977; 49(5):501–3.
| Files | ||
| Issue | Vol 9 No 3 (2023): Summer |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v9i3.13125 | |
| Keywords | ||
| Ebstein anomaly Cleft palate Ectrodactyly Tachyarrythmias Mitral Stenosis | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Naaz S, Saiyed A, Meena R, Garg A. Anaesthetic Management of Ebstein Anomaly in a Patient with Cleft Palate. Arch Anesth & Crit Care. 2023;9(3):268-271.
