Anaesthetic management of ASD with VSD with small right ventricle coming for non-cardiac surgery: A case report

Abstract

Congenital birth defects are still placed first among common birth defects. Anaesthetist has to face great challenge in handling child with congenital heart disease coming for non-cardiac surgery. Here we present a case report of a 4year old male child with large ASD with VSD with TRICUSPID ATRESIA with pulmonary stenosis with small right ventricle who developed brain abscess due to bypass of venous blood from pulmonary circulation thus preventing the phagocytosis of the infective organism by the pulmonary macrophages. Anaesthetic goals in these patients is to maintain or increase the SVR, minimize PVR and provide mild cardiac depression.