Turki Sonali, Arya Abhishek, Kajal Kamal, Gourav Krishna P
Department of Anaesthesia, Sharda School of Medical Sciences and Research, Greater Noida, Uttar Pradesh, India.
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Saudi J Anaesth. 2023 Jul-Sep;17(3):416-418. doi: 10.4103/sja.sja_903_22. Epub 2023 Jun 22.
Lutembacher's syndrome is a rare congenital cardiac syndrome comprising of a combination of an atrial septal defect complicated by congenital or acquired mitral stenosis. The applied physiology of the patient depends upon the severity and the interactions of the lesions. They pose certain difficulties to the administration of both general or neuraxial anesthesia. A preference of one form of anesthesia over the other should be based on the understanding of the physiology of the patient. There should not be an orthodox avoidance of neuraxial anesthesia in complex cardiac pathologies as general anesthesia can be associated with certain complications of its own. Here, we report our successful experience of neuraxial anesthesia being administered in a patient with Lutembacher's syndrome.
鲁登巴赫综合征是一种罕见的先天性心脏综合征，由房间隔缺损合并先天性或后天性二尖瓣狭窄组成。患者的应用生理学取决于病变的严重程度及其相互作用。这些病变给全身麻醉或椎管内麻醉的实施带来了一定困难。选择一种麻醉方式优于另一种应基于对患者生理学的理解。在复杂心脏疾病中，不应一味地避免椎管内麻醉，因为全身麻醉本身也可能伴有某些并发症。在此，我们报告在一名鲁登巴赫综合征患者中成功实施椎管内麻醉的经验。
