Open AccessAnesthetic management of a child with double outlet right ventricle and severe polycythemia: A case report
Author(s) -
Lingcan Tan,
Weiyi Zhang,
Yiding Zuo,
Hong-Yang Chen,
Chunling Jiang
Publication year - 2021
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v9.i11.2634
Subject(s) - medicine , double outlet right ventricle , anesthesia , ventricle , anesthetic , surgery , cardiology
Double outlet right ventricle (DORV) is a rare and complex congenital heart defect, and the surgical repairs vary with type and pathophysiology consequences. Due to prolonged progressive hypoxemia, severe polycythemia is common in patients with DORV, which ultimately leads to coagulation dysfunction and increases the risk of thrombosis and infarction. Consequently, the anesthetic management is challenging and how to manage severe polycythemia and avoid hypoxia-related complications in such patients is of great significance.