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Anesthetic management for surgical repair of Ebstein's anomaly along with coexistent Wolff-Parkinson-White syndrome in a patient with severe mitral stenosis


1 Consultant Anesthesiologist, Campbellton Regional Hospital, Campbellton, NB, Canada
2 Department of Anesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram-695011, Kerala, India
3 Department of Cardiac Surgery, Brigham and Women Hospital, Harvard University, Boston, USA

Correspondence Address:
Prabhat Kumar Sinha
Consultant Anesthesiologist, Campbellton Regional Hospital, 189, Lily Lake Road, Campbellton, NB, E3N3H3
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.62934

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Year : 2010  |  Volume : 13  |  Issue : 2  |  Page : 154-158

 

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Ebstein's anomaly (EA) is the most common cause of congenital tricuspid regurgitation. The associated anomalies commonly seen are atrial septal defect or patent foramen ovale and accessory conduction pathways. Its association with coexisting mitral stenosis (MS) has uncommonly been described. The hemodynamic consequences and anesthetic implications, of a combination of EA and rheumatic MS, have not so far been discussed in the literature. We report successful anesthetic management of a repair of EA and mitral valve replacement in a patient with coexisting Wolff-Parkinson-White (WPW) syndrome.






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1 Consultant Anesthesiologist, Campbellton Regional Hospital, Campbellton, NB, Canada
2 Department of Anesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram-695011, Kerala, India
3 Department of Cardiac Surgery, Brigham and Women Hospital, Harvard University, Boston, USA

Correspondence Address:
Prabhat Kumar Sinha
Consultant Anesthesiologist, Campbellton Regional Hospital, 189, Lily Lake Road, Campbellton, NB, E3N3H3
Canada
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.62934

Rights and Permissions

Ebstein's anomaly (EA) is the most common cause of congenital tricuspid regurgitation. The associated anomalies commonly seen are atrial septal defect or patent foramen ovale and accessory conduction pathways. Its association with coexisting mitral stenosis (MS) has uncommonly been described. The hemodynamic consequences and anesthetic implications, of a combination of EA and rheumatic MS, have not so far been discussed in the literature. We report successful anesthetic management of a repair of EA and mitral valve replacement in a patient with coexisting Wolff-Parkinson-White (WPW) syndrome.






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