Mathew P J, Sadera G S, Sharafuddin S, Pandit B
Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Acta Anaesthesiol Scand. 2004 Apr;48(4):518-20. doi: 10.1111/j.0001-5172.2004.00357.x.
Kartagener's syndrome is a rare disorder characterized by the triad of situs inversus, including dextrocardia, bronchiectasis and paranasal sinusitis. We report the anaesthetic management of a patient with Kartagener's syndrome and postrenal transplant immunosuppression, presenting for repair of uterovaginal prolapse. Combined spinal epidural anaesthesia was administered to this patient. The anaesthetic considerations of this rare disorder and the relative advantages of the regional technique over general anaesthesia in this situation are discussed.
卡塔格内综合征是一种罕见的疾病,其特征为三联征,包括内脏转位(包括右位心)、支气管扩张和鼻窦炎。我们报告了一例患有卡塔格内综合征且接受肾移植后免疫抑制治疗的患者,因子宫阴道脱垂修复术前来就诊的麻醉管理情况。该患者接受了腰麻-硬膜外联合麻醉。本文讨论了这种罕见疾病的麻醉注意事项以及在这种情况下区域麻醉技术相对于全身麻醉的相对优势。