Document Detail

Laparoscopic cholecystectomy for the adult with unrepaired tetralogy of Fallot: a case report.
MedLine Citation:
PMID:  10488279     Owner:  NLM     Status:  MEDLINE    
A 24-year-old woman with a history of unrepaired tetralogy of Fallot was scheduled to undergo laparoscopic cholecystectomy. Her significant history included tetralogy of Fallot with pulmonary atresia, hypoplastic left pulmonary artery, pulmonary vascular obstructive disease, a functioning right subclavian artery to right pulmonary artery shunt (modified Blalock-Taussig palliative procedure) with a similar shunt on the left side that is occluded. The patient underwent general endotracheal anesthesia for laparoscopic cholecystectomy for cholelithiasis and pancreatitis. Anesthetic induction, intraoperative course, and the postoperative period proceeded uneventfully, and the patient quickly progressed to the preoperative level of functioning. The careful application of pharmacological and physiological principles guided the anesthetic plan and produced a successful outcome. Principles for the anesthetic management of the patient with cyanotic congenital heart disease undergoing noncardiac surgery are reviewed.
J D Andrews
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AANA journal     Volume:  67     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-09-29     Completed Date:  1999-09-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  67-71     Citation Subset:  N    
Fairview Park Hospital, Dublin, Georgia, USA.
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MeSH Terms
Anesthesia, General / methods*,  nursing
Cholecystectomy, Laparoscopic*
Cholelithiasis / complications*,  surgery*
Nurse Anesthetists
Perioperative Care / nursing
Tetralogy of Fallot / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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