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A 2-month-old male infant with jaundice was admitted for common bile duct exploration under general anesthesia. The infant also had uncorrected tetralogy of Fallot (TOF). Preoperative laboratory tests showed elevated serum alanine aminotransferase, aspartate aminotransferase, direct bilirubin, and abnormal coagulation function. Due to the presence of intracardiac shunting and partial obstruction of the right ventricular outflow tract, extra attention should be paid to prevent hypoxic episodes and the effects of hepatic impairment and jaundice on drug metabolism and interaction when the patient with uncorrected TOF undergoes noncardiac surgeries.

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Anesthetic Management of Common Bile Duct Exploration in Infants with Tetralogy of Fallot

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  • 发表日期：

    2025年

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  • Zhezhe Peng

摘要

A 2-month-old male infant with jaundice was admitted for common bile duct exploration under general anesthesia. The infant also had uncorrected tetralogy of Fallot (TOF). Preoperative laboratory tests showed elevated serum alanine aminotransferase, aspartate aminotransferase, direct bilirubin, and abnormal coagulation function. Due to the presence of intracardiac shunting and partial obstruction of the right ventricular outflow tract, extra attention should be paid to prevent hypoxic episodes and the effects of hepatic impairment and jaundice on drug metabolism and interaction when the patient with uncorrected TOF undergoes noncardiac surgeries.