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A 4-year-old girl was diagnosed with transitional atrioventricular septal defect, severe mitral regurgitation, moderate-to-severe tricuspid regurgitation, and pulmonary hypertension (moderate) by echocardiography due to heart murmurs. She was scheduled for cardiac catheterization examination under general anesthesia. The left-to-right intracardiac shunt increased pulmonary blood flow, recurrent episodes of upper respiratory tract infections, and suboptimal pulmonary development. The key to anesthetic management in this should focus on the hemodynamic changes caused by mitral regurgitation and pulmonary hypertension and the cardiac catheterization-related complications such as arrhythmias and hypotension.

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Anesthetic Management in Pediatric Patients Undergoing Cardiac Catheterization Examination for Transitional Atrioventricular Septal Defect

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  • 发表日期：

    2025年

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  • Wei Ji

摘要

A 4-year-old girl was diagnosed with transitional atrioventricular septal defect, severe mitral regurgitation, moderate-to-severe tricuspid regurgitation, and pulmonary hypertension (moderate) by echocardiography due to heart murmurs. She was scheduled for cardiac catheterization examination under general anesthesia. The left-to-right intracardiac shunt increased pulmonary blood flow, recurrent episodes of upper respiratory tract infections, and suboptimal pulmonary development. The key to anesthetic management in this should focus on the hemodynamic changes caused by mitral regurgitation and pulmonary hypertension and the cardiac catheterization-related complications such as arrhythmias and hypotension.