Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610-0254, USA.
J Clin Anesth. 2009 Sep;21(6):454-8. doi: 10.1016/j.jclinane.2008.10.008.
A 39-year-old patient awaiting emergency surgery due to a crush foot injury, with an undiagnosed cyanotic cardiac lesion that was diagnosed later as a complete atrioventricular canal defect, is presented. Complete atrioventricular canal defects usually present in the first few months of life and can be fatal if not treated in the first few years. Adult patients with congenital cardiac malformations seem to be at increased risk for noncardiac surgery. The diagnostic process, perioperative management, and anesthetic implications are discussed.
一位 39 岁的患者因足部挤压伤而等待急诊手术，后来被诊断出患有未确诊的发绀性心脏病变，即完全性房室管缺损。完全性房室管缺损通常在生命的头几个月出现，如果不在最初几年内治疗，可能会致命。患有先天性心脏畸形的成年患者似乎在非心脏手术中面临更高的风险。本文讨论了诊断过程、围手术期管理和麻醉影响。
