Viehmeyer S, Gabriel P, Bauer K, Bauer S, Sodian R, Hilberath J N
Department of Anesthesiology and Critical Care Medicine, MediClin Heart Institute Lahr/Baden, Lahr, Germany.
Department of Cardiac Surgery, MediClin Heart Institute Lahr/Baden, Lahr, Germany.
Case Rep Anesthesiol. 2018 Feb 13;2018:7862327. doi: 10.1155/2018/7862327. eCollection 2018.
Freeman-Sheldon syndrome (FSS) or "whistling face" syndrome is a rare congenital disorder complicated by characteristic facial deformities and muscular contractures. We report on a 64-year-old male patient presenting for surgical replacement of his aortic valve and review the available literature on anesthetic considerations and perioperative management principles. FSS frequently poses a significant challenge to airway management and gaining vascular access. Moreover, these patients are reportedly at risk for developing malignant hyperthermia (MH) or neuroleptic malignant syndrome.
弗里曼-谢尔顿综合征（FSS）或“吹口哨脸”综合征是一种罕见的先天性疾病，伴有特征性面部畸形和肌肉挛缩。我们报告一例64岁男性患者，因主动脉瓣置换术前来就诊，并回顾了有关麻醉注意事项和围手术期管理原则的现有文献。FSS常常给气道管理和建立血管通路带来重大挑战。此外，据报道这些患者有发生恶性高热（MH）或抗精神病药恶性综合征的风险。
