Comprehensive Anaesthetic Approache for Paediatric Atrial Septal Defects Closure: A Case Report on One-Lung Ventilation and Epidural Analgesia
Atrial Septal Defects (ASD) is among the most frequent congenital heart defects, commonly seen in children. Such defects also carry risks like pulmonary hypertension, arrhythmias, and failure on the right-side of the heart that require surgical intervention. Though the most prominent conventional pr...
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JCDR Research and Publications Private Limited
2025-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=July&volume=19&issue=7&page=UD14-UD16&id=21244 |
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| author | Shahbaz Hasnain Subhashree jena |
| author_facet | Shahbaz Hasnain Subhashree jena |
| author_sort | Shahbaz Hasnain |
| collection | DOAJ |
| description | Atrial Septal Defects (ASD) is among the most frequent congenital heart defects, commonly seen in children. Such defects also carry risks like pulmonary hypertension, arrhythmias, and failure on the right-side of the heart that require surgical intervention. Though the most prominent conventional procedure used was open-heart surgery, ASD closure through minimal invasive techniques is gradually favoured in recent times. The benefits include shorter recovery times, smaller incisions, and less complications. This is a case report on the anaesthetic management of a nine-year-old child who underwent minimally invasive closure of an ASD. The child had a large ASD, with signs and symptoms such as recurrent respiratory infections and intolerance to exercise. Management strategy for anaesthesia comprised One-Lung Ventilation (OLV) modality, using embolectomy catheter followed by ultrasound guided techniques for vascular access, and epidural analgesia. These techniques provided control over the perioperative period, and promoted quick recovery after the procedure. |
| format | Article |
| id | doaj-art-0cfc30fc6ad9474ebee08606102f1bd8 |
| institution | DOAJ |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-0cfc30fc6ad9474ebee08606102f1bd82025-08-20T02:50:53ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-07-01197UD14UD1610.7860/JCDR/2025/79439.21244Comprehensive Anaesthetic Approache for Paediatric Atrial Septal Defects Closure: A Case Report on One-Lung Ventilation and Epidural AnalgesiaShahbaz Hasnain0Subhashree jena1Professor, Department of Anaesthesiology, Dr. D. Y. Patil Medical College and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.Junior Resident, Department of Anaesthesiology, Dr. D. Y. Patil Medical College and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India.Atrial Septal Defects (ASD) is among the most frequent congenital heart defects, commonly seen in children. Such defects also carry risks like pulmonary hypertension, arrhythmias, and failure on the right-side of the heart that require surgical intervention. Though the most prominent conventional procedure used was open-heart surgery, ASD closure through minimal invasive techniques is gradually favoured in recent times. The benefits include shorter recovery times, smaller incisions, and less complications. This is a case report on the anaesthetic management of a nine-year-old child who underwent minimally invasive closure of an ASD. The child had a large ASD, with signs and symptoms such as recurrent respiratory infections and intolerance to exercise. Management strategy for anaesthesia comprised One-Lung Ventilation (OLV) modality, using embolectomy catheter followed by ultrasound guided techniques for vascular access, and epidural analgesia. These techniques provided control over the perioperative period, and promoted quick recovery after the procedure.https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=July&volume=19&issue=7&page=UD14-UD16&id=21244fogarty cathetersinterventional cardiologypulmonary hypertensionsurgical closure |
| spellingShingle | Shahbaz Hasnain Subhashree jena Comprehensive Anaesthetic Approache for Paediatric Atrial Septal Defects Closure: A Case Report on One-Lung Ventilation and Epidural Analgesia Journal of Clinical and Diagnostic Research fogarty catheters interventional cardiology pulmonary hypertension surgical closure |
| title | Comprehensive Anaesthetic Approache for Paediatric Atrial Septal Defects Closure: A Case Report on One-Lung Ventilation and Epidural Analgesia |
| title_full | Comprehensive Anaesthetic Approache for Paediatric Atrial Septal Defects Closure: A Case Report on One-Lung Ventilation and Epidural Analgesia |
| title_fullStr | Comprehensive Anaesthetic Approache for Paediatric Atrial Septal Defects Closure: A Case Report on One-Lung Ventilation and Epidural Analgesia |
| title_full_unstemmed | Comprehensive Anaesthetic Approache for Paediatric Atrial Septal Defects Closure: A Case Report on One-Lung Ventilation and Epidural Analgesia |
| title_short | Comprehensive Anaesthetic Approache for Paediatric Atrial Septal Defects Closure: A Case Report on One-Lung Ventilation and Epidural Analgesia |
| title_sort | comprehensive anaesthetic approache for paediatric atrial septal defects closure a case report on one lung ventilation and epidural analgesia |
| topic | fogarty catheters interventional cardiology pulmonary hypertension surgical closure |
| url | https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=July&volume=19&issue=7&page=UD14-UD16&id=21244 |
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