Open AccessSpinal anesthesia for open gastrostomy in an infant after stage I Norwood for hypoplastic left heart
Author(s) -
Michael A. Acquaviva,
Doris M Hardacker,
Senthil Packiasabapathy,
R. Cartland Burns
Publication year - 2022
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_262_20
Subject(s) - medicine , hypoplastic left heart syndrome , norwood procedure , gastrostomy , stage (stratigraphy) , anesthesia , ventricle , spinal anesthesia , surgery , cardiology , heart disease , paleontology , biology
Infants with hypoplastic left heart are at increased risk of adverse events including mortality when they undergo procedures with general anesthesia in the inter-stage period after stage I Norwood. This is primarily caused by an imbalance between pulmonary and systemic blood flows augmented by decreased function of the single ventricle. These factors can be aggravated by general anesthesia, hence the increased risk. Many of these infants experience feeding dysfunction and require a gastrostomy to optimize nutrition. We report a case of open gastrostomy in an infant with Norwood physiology under spinal anesthesia with an excellent outcome.