The diagnostic process and perioperative and anesthetic management of an undiagnosed congenital cyanotic cardiac defect in an adult for trauma surgery |
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| Authors: | Tim Litofe MD Resident Jochen Muehlschlegel MD Postdoctoral Fellow Yong Peng MD Assistant Professor Avner Sidi MD Associate Professor Mark S Bleiweis MD Associate Professor Surgery Pediatrics |
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| Institution: | aDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610-0254, USA;bHolder of the William G. Lassiter, Jr., and Aneice R. Lassiter Professorship; Director, Congenital Heart Center, University of Florida College of Medicine at Gainesville, and Shands Hospital, Gainesville, FL |
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| Abstract: | A 39-year-old patient awaiting emergency surgery due to a crush foot injury, with an undiagnosed cyanotic cardiac lesion that was diagnosed later as a complete atrioventricular canal defect, is presented. Complete atrioventricular canal defects usually present in the first few months of life and can be fatal if not treated in the first few years. Adult patients with congenital cardiac malformations seem to be at increased risk for noncardiac surgery. The diagnostic process, perioperative management, and anesthetic implications are discussed. |
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| Keywords: | Atrioventricular canal defect Trauma Anesthetic implications |
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