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Anesthetic management of a child with nephrotic syndrome undergoing open heart surgery: Report of a rare case


Department of Anaesthesiology, Intensive Care and Cardiothoracic and Vascular Surgery, G.B. Pant Hospital, New Delhi, India

Correspondence Address:
Vishnu Datt
Department of Anesthesiology and Intensive Care, Academic Block, Room no. 619, G.B. Pant Hospital, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.101868

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Year : 2012  |  Volume : 15  |  Issue : 4  |  Page : 305-308

 

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The congenital nephrotic syndrome (NS) in infancy and childhood is an important entity but combination with acyanotic congenital heart disease is uncommon. Anesthesia in such cases is challenging because of associated problems like hypo-protienemia, anti-thrombin III deficiency, edema, hyperlipidemia, coagulopathy, cardiomyopathy, immunodeficiency, increased lung water etc. We describe anesthetic management of a patient with childhood NS and sinus venosus atrial septal defect (ASD) undergoing open heart surgery. We also suggest guidelines for safe conduct of anesthesia and CPB in such patients.






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Department of Anaesthesiology, Intensive Care and Cardiothoracic and Vascular Surgery, G.B. Pant Hospital, New Delhi, India

Correspondence Address:
Vishnu Datt
Department of Anesthesiology and Intensive Care, Academic Block, Room no. 619, G.B. Pant Hospital, New Delhi - 110 002
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.101868

Rights and Permissions

The congenital nephrotic syndrome (NS) in infancy and childhood is an important entity but combination with acyanotic congenital heart disease is uncommon. Anesthesia in such cases is challenging because of associated problems like hypo-protienemia, anti-thrombin III deficiency, edema, hyperlipidemia, coagulopathy, cardiomyopathy, immunodeficiency, increased lung water etc. We describe anesthetic management of a patient with childhood NS and sinus venosus atrial septal defect (ASD) undergoing open heart surgery. We also suggest guidelines for safe conduct of anesthesia and CPB in such patients.






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