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Year : 2020  |  Volume : 14  |  Issue : 2  |  Page : 349-351

Uncorrected tetralogy of Fallot's: Anesthetic challenges

1 Department of Anaesthesiology, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India
2 Department of Anaesthesiology and Critical Care, B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India

Correspondence Address:
Dr. Priyanka Dwivedi
Department of Anaesthesiology, All India Institute of Medical Sciences, Gorakhpur - 273 008, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aer.AER_65_20

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Tetrology of Fallot's (TOF) is the most common cause of cyanotic congenital heart disease, and accounts for 10% of all congenital heart diseases. Right to left shunting and hyperviscosity of blood predisposes these patients to brain abscess. Perioperative management of these patients with uncorrected TOF for noncardiac surgery is a challenge for the anesthesiologists owing to the long-term effects of hypoxia and decreased pulmonary blood flow, resulting in considerable modification of the physiology and neurological complications. We are hereby reporting the anaesthetic management of an 8 year old child with uncorrected TOF presenting with multiple brain abscesses who underwent craniotomy with uneventful recovery.

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