Key result
Total intravenous anesthesia and monitoring allow successful laparoscopic cholecystectomy in unstable large ASD.
Why the study?
Management strategies for patients with large atrial septal defect and hemodynamic instability undergoing laparoscopic surgery are not well established.
Case Report (n=1)
Total intravenous anesthesia with careful hemodynamic monitoring can be successfully used for laparoscopic cholecystectomy in patients with large atrial septal defects and pulmonary hypertension.
May inform anesthetic choices in select high-risk ASD cases; hypothesis-generating, prospective trials needed before practice change.
A 51-year-old woman presented with symptomatic GB stone was planned for elective laparoscopic cholecystectomy. She had known osteum secondum type atrial septal defect, moderate pulmonary hypertension, and atrial fibrillation. We report the case of a patient with a large atrial septal defect (65 mm) and hemodynamic instability who underwent laparoscopic cholecystectomy under total intravenous anesthesia with careful hemodynamic monitoring. Thorough surveillance and effort could help to make the surgery successful.
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Park et al. (2020) conducted a case report in Symptomatic gallstone, large atrial septal defect, moderate pulmonary hypertension, and atrial fibrillation (n=1). Total intravenous anesthesia with careful hemodynamic monitoring was evaluated on Successful surgery. Total intravenous anesthesia with careful hemodynamic monitoring allowed for successful laparoscopic cholecystectomy in a patient with a large atrial septal defect and hemodynamic instability.
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