Anaesthetic considerations in a neonate with unrepaired D-transposition of great arteries with non-syndromic holoprosencephaly for emergency exploratory laprotomy: A case report

Abstract

D-Transposition of great arteries (D-TGA) is a cyanotic congenital heart disease (CHD) characterized by parallel circulation. Non syndromic holoprosencephaly is an abnormality of brain development resulting from failure or incomplete division of embryonic forebrain into distinct cerebral hemisphere. Major challenges in patients of D-TGA are hemodynamic instability, cyanotic spell, coagulopathy, acid base and electrolyte imbalance. We report successful management of one day old neonate posted for emergency resection anastomosis for ileal atresia with unrepaired d-TGA and non-syndromic holoprosencephaly.