We performed general anesthesia for a lip repair and palatoplasty in a patient with left ventricular hypoplasia following a Glenn procedure. Preoperative examination revealed hemorrhagic diathesis, hypoxemia, and secondary polycythemia. After completion of the palatoplasty, hypoxemia and intraoral bleeding were observed, and reintubation was required. The bleeding risk was likely increased in this patient due to several factors including the surgical procedure and concurrent antithrombotic therapy. In conclusion, the risks associated with hypoxemia and increased bleeding must be considered for the safe provision of general anesthesia during palatoplasty procedures in patients with cyanotic heart disease.
General Anesthesia During Lip Repair and Palatoplasty After Glenn Surgery
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Kaoru Yamashita, Toshiro Kibe, Atsushi Kohjitani, Yurina Higa, Ayako Niiro, Minako Uchino, Kanae Aoyama, Rumi Shidou, Kohei Hashiguchi, Mitsutaka Sugimura; General Anesthesia During Lip Repair and Palatoplasty After Glenn Surgery. Anesth Prog 1 June 2020; 67 (2): 107–108. doi: https://doi.org/10.2344/anpr-67-02-05
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