Title : Anesthetic considerations of ASD with pulmonary arterial hypertension for non-cardiac surgery
Abstract:
- Atrial septal defect (ASD) is a common cardiac anomaly that accounts for about 10% of congenital cardiac defects in adults.
- Delayed presentation of the ‘congenital lesion’, poses several challenges to the surgical as well as anaesthetic team.
- Clinical suspicion & thorough pre-operative evaluation aids in proper management of such patients both intra and post-operatively.
Conclusion
- Knowledge of pathophysiology of ASD and clinical suspicion for PH is of great importance in anaesthetic management and conduct of surgery.
- Perioperative management of patients of PH revolves around safe induction and maintenance of anaesthesia without significant haemodynamic decompensation.
- Adequate preload and myocardial perfusion of RV is necessary for its optimal function.
- The Bilateral TAP block with NSAIDs provided superior postoperative analgesia without causing any haemodynamic instability.
