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Biswas S, Thakkar K, Ajayan N, et al. A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery. J Neurosci Rural Pract. 2019;10(4):715-717doi: 10.1055/s-0039-3399601.
Biswas, S., Thakkar, K., Ajayan, N., Hrishi, A. P., & Sethuraman, M. (2019). A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery. Journal of neurosciences in rural practice, 10(4), 715-717. https://doi.org/10.1055/s-0039-3399601
Biswas, Soniya, et al. "A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery." Journal of neurosciences in rural practice vol. 10,4 (2019): 715-717. doi: https://doi.org/10.1055/s-0039-3399601
Biswas S, Thakkar K, Ajayan N, Hrishi AP, Sethuraman M. A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery. J Neurosci Rural Pract. 2019 Oct;10(4):715-717. doi: 10.1055/s-0039-3399601. Epub 2019 Dec 11. PMID: 31831995; PMCID: PMC6906105.
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J Neurosci Rural Pract. 2019 Oct;10(4):715-717. doi: 10.1055/s-0039-3399601. Epub 2019 Dec 11.

A Case of Transposition of Great Arteries with Ventricular Septal Defect and Mesocardia Presenting for Neurosurgery.

Journal of neurosciences in rural practice

Soniya Biswas, Keta Thakkar, Neeraja Ajayan, Ajay Prasad Hrishi, Manikandan Sethuraman

Affiliations

  1. Division of Neuroanesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

PMID: 31831995 PMCID: PMC6906105 DOI: 10.1055/s-0039-3399601

Abstract

Congenitally corrected transposition of great arteries (CC-TGAs) associated with a ventricular septal defect (VSD) presents with cyanotic spells and systemic complications such as brain abscess. In mesocardia, the heart lies in the midline with no apex seen on the left side. We report the anesthetic management of a child with CC-TGA, VSD, and mesocardia presenting with parietal brain abscess for neurosurgery. The significant anesthetic challenges include maintenance of peripheral vascular resistance lower than systemic vascular resistance, prevention of air embolism and paradoxical embolism, avoidance of hyperviscosity in addition to avoiding any rise in intracranial pressure, and maintenance of cerebral perfusion pressure.

Keywords: neurosurgery; transposition of great arteries; ventricular septal defect

Conflict of interest statement

Conflict of Interest None declared.

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