Anesthetic management of pulmonary artery banding in adult patient with single ventricle and uncorrected transposition of the great arteries

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-11-01 DOI:10.1016/j.redare.2024.02.030

M. Ribas Ball , M. de Miguel Negro , P. Galán Menéndez , L. Dos Subirà , M.A. Castro Alba , G. Martí Aguasca

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Abstract

Pulmonary artery banding (PAB) is a procedure mainly performed during the neonatal period as an initial stage to definitive palliative reconstruction, a scenario in which the criteria for banding adjustment are well defined. However, the indication for BAP in the adult is extraordinarily rare, even more in patients with single ventricle and unrepaired transposition of the great arteries (TGA), and there are no established criteria for banding adjustment. Due to the small number of these procedures, there is limited experience in their anesthetic management and complications.

We describe a case of a 29-year-old patient diagnosed with a cyanotic congenital heart disease of double-inlet left ventricle with TGA and unrepaired mitral stenosis, who underwent to a hybrid procedure of PAB and enlargement of the communication between the two atria.

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单心室和大动脉转位未矫正的成年患者肺动脉束带术的麻醉管理。

肺动脉束带术（PAB）主要是在新生儿期进行的一种手术，是最终姑息性重建的初始阶段，在这种情况下，束带调整的标准是非常明确的。然而，在成人中进行 BAP 的适应症极为罕见，在单心室和未修复的大动脉转位（TGA）患者中更是如此，而且也没有既定的束带调整标准。由于此类手术数量较少，在麻醉管理和并发症方面的经验也很有限。我们描述了一例 29 岁患者的病例，该患者被诊断为左心室双入口、TGA 和未修复的二尖瓣狭窄的紫绀型先天性心脏病，接受了 PAB 和扩大两个心房之间沟通的混合手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista espanola de anestesiologia y reanimacion

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