Congenitally corrected transposition of great arteries: anaesthesia management for a double heart valve replacement

作者：Bingling Dai, Xiang Liu, Xiang Zhao, Evelyne Bischof, Jiajun Ding, Huihong Lu · 发表于：Anesthesiology and Perioperative Science · 年份：2023 · DOI：10.1007/s44254-023-00025-3 · 被引用次数：1 · 研究领域：Congenital Heart Disease Studies、Coronary Artery Anomalies、Vascular anomalies and interventions

Abstract Purpose Congenitally corrected transposition of the great arteries (ccTGA) is a rare disease that is complicated by a variety of tachyarrhythmias or atrioventricular blocks and cardiac malformations. Anesthesia management is a challenge, especially in ccTGA patients with complications. Herein, we reported a case of ccTGA. Methods Multimodal general anesthesia combined with transversus thoracic muscle plane block (TTMPB), use of low-dose opioids and adjuvant medications, lung protective ventilation, use of vasoactive drugs and close perioperative monitoring were employed for the peri-operative management of this patient. Results The patient was safely returned to the ward and did not develop serious complications. Fourteen days after surgery, the patient recovered well and was discharged. Conclusions For patients undergoing a secondary cardiac surgery for ccTGA, preoperative evaluation of etiology of ccTGA is very important. Anesthesia management based on the surgical method and intraoperative vital signs and the postoperative real-time monitoring are also crucial for the post-operative recovery of these patients.