44. Anaesthesia for repair the congenital left coronary artery: A case report
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Abstract
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) syndrome (Bland-White-Garland syndrome) is a rarely seen congenital coronary artery anomaly characterized by an abnormally located left coronary artery that arises from the pulmonary artery instead of the aorta. Anesthesia induction and maintenance have significance difference due to many reasons: maintaining adequate diastolic blood pressure, maintaining preload, optimal stroke volume, and preventing tachycardia. It is necessary to evaluate the hemodynamics and repair effectiveness of the surgery using intraoperative transesophageal echocardiography for quick and accurate assessment to assist anesthesiologists and surgeons in providing optimal treatment.
Article Details
Keywords
ALCAPA syndrome, coronary artery, anesthesia management, transesophageal echocardiography
References
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