Anaesthesia for herniotomy in a pediatric patient with criss cross heart disease

Abstract

Background: Congenital heart disease (CHD), still placed first among common birth defects, occurs approximately 1 in 125 live births. Crisscross heart disease (CCHD) is an uncommon cardiac malformation characterized by crossing of the inflow blood streams of the two ventricles due to an apparent longitudinal twisting of the heart [1]. Case Report: We report a case of a 4-month-old infant, a diagnosed case of complex congenital heart disease (CCHD, VSD, pulmonary atresia and mild AR) and was on anti-heart failure treatment, admitted to our hospital for left inguinal herniotomy. Conclusion: The challenge for anaesthetists dealing with CHD patient, coming for other than cardiac surgery depends on the patient’s age, complexity of the heart lesion, coupled with patients’ capacity to compensate, multiple comorbids and surgical urgency.