Anesthetic management of adult patients with tetralogy of Fallot: a case series

Abstract

Tetralogy of Fallot (ToF) is the most common form of cyanotic congenital heart disease, occurring predominantly in the childhood with a rare late presentation in the adults. the prognosis OF ToF remains poor, especially in those who do not undergo surgical correction. However, in the recent times, there is a significant improvement in the prognosis of congenital heart diseases and almost 85% patients are expected to survive till adulthood due to early diagnosis and appropriate medical and surgical management. These adult patients with congenital heart disease exhibit specific and complex anatomic and physiological changes, which can affect the perioperative morbidity and mortality to a great extent. We present this case series to discuss the relevant clinical and successful anaesthetic conduct of adult patients with ToF. before and after surgical repair, with good perioperative outcome.

Key words: Tetralogy of Fallot; Congenital heart disease; Anesthesia; Cyanosis; Pulmonary stenosis; Pulmonary atresia.

Citation: Sengottian MP, Ajanth S, Baliarsing LA, Deshpande C. Anesthetic management of adult patients with tetralogy of Fallot: a case series. Anaesth. pain intensive care 2023;27(3):429−433; DOI: 10.35975/apic.v27i3.2229

Received: November 27, 2022; Reviewed: March 16, 2023; Accepted: April 05, 2023