Perioperative anesthetic management of interrupted aortic arch associated with severe pulmonary hype

• 作 者: Zhong Hejiang Huang Jing Yang Tiande Qi Yueyong
• 机 构: Department of Anesthesiology, Xinqiao Hospital, Third Military Medical University, Chongqing 400037,
• 出 处: 中国人民解放军军医大学学报（英文版）
• 发表日期: 2011年5期
• 关键词: Interrupted aortic arch Pulmonary hypertension Perioperative anesthetic manageme

The interrupted aortic arch (IAA) is rare congential heart defect and entails a very poor prognosis without surgical treatment.We describe a young adult patient with IAA associated with severe pulmonary hypertension and discuss the perioperative anesthetic management of single-stage surgical correction in this patient.Preoperative anesthetic preparation with better understanding of the malformation,intraoperative hemodynamic monitoring,and adequate alveolar ventilation in the perioperative period were all important factors contributing to a successful outcome.