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2014 Month : October Volume : 3 Issue : 50 Page : 11860-11865ANESTHETIC MANAGEMENT OF A KNOWN CASE OF EBSTEIN S ANOMALY POSTED FOR HEMITHYROIDECTOMY: A CASE REPORT
Snehalatha Bhashyam1, P. Krishna Prasad2, B. Sowbhagya Lakshmi3, K. V.P. Bramhaji Rao4
CORRESPONDING AUTHOR:
Dr. Snehalatha Bhahsyam,
H. No. 8-11-18/1,
Opp. Indian Red Cross Society,
Red Cross Street,
Gandhinagar, Kakinada-533004.
Email: snehabhashyam@gmail.com
ABSTRACT: BACKGROUND: The rare congenital heart defect of Ebstein’s anomaly is characterized by downward displacement and elongation of the tricuspid valve with poorly contractile right ventricle, an enlarged right atrium along with tricuspid regurgitation. It is frequently associated with intracardiac shunting, pulmonary hypertension, cardiac dysrhythmias, cyanosis and particularly associated with Wolf-Parkinson-White syndrome (up to 20 % of patients). Supra ventricular and ventricular arrythmias are common. Congestive heart failure and sudden collapse are the most common causes of death. The complications following thyroid surgery are rare due to better preoperative preparations and proper surgical techniques, however, complications like hematoma formation and recurrent laryngeal nerve injury are known to cause airway obstruction and can be fatal. Here we report the successful management of a 45 year old euthyroid patient, a known case of Ebstein’s anomaly who underwent Hemithyroidectomy under General anaesthesia (G.A) Perioperative management was uncomplicated with good hemodynamic stability and patient was discharged without any untoward problem.
KEYWORDS: Ebstein’s anomaly, Hemithyroidectomy, General anaesthesia, hemodynamic stability.