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A 4-month-old male infant was found to have Ebstein’s anomaly with moderate to severe tricuspid valve insufficiency immediately after birth. His symptoms, such as cyanosis and difficulty feeding, gradually worsened recently. He was admitted to our hospital for elective single-ventricle palliation. The patient had frequent attacks of tachyarrhythmia and heart failure before surgery. Tachyarrhythmia occurred repeatedly after thoracotomy. In this case, the key points of anesthetic management include perioperative tachyarrhythmia management, maintenance of preoperative forward blood flow in the pulmonary artery, and optimization of systemic circulation oxygen supply and perfusion pressure based on single-ventricle physiology after palliative surgery.

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Anesthetic Management for the Single-Ventricle Palliation in a Small Infant with Ebstein’s Anomaly

  • 章节

  • 发表日期：

    2025年

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  • Jie Hu

摘要

A 4-month-old male infant was found to have Ebstein’s anomaly with moderate to severe tricuspid valve insufficiency immediately after birth. His symptoms, such as cyanosis and difficulty feeding, gradually worsened recently. He was admitted to our hospital for elective single-ventricle palliation. The patient had frequent attacks of tachyarrhythmia and heart failure before surgery. Tachyarrhythmia occurred repeatedly after thoracotomy. In this case, the key points of anesthetic management include perioperative tachyarrhythmia management, maintenance of preoperative forward blood flow in the pulmonary artery, and optimization of systemic circulation oxygen supply and perfusion pressure based on single-ventricle physiology after palliative surgery.