ArticleSAGE open medical case reports2025
Perioperative management of uncorrected tetralogy of Fallot presenting for emergent noncardiac surgery: A case report.
Article in SAGE open medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
With only about 3% of patients with uncorrected tetralogy of Fallot surviving past age 40, we describe the case of an uncorrected tetralogy of Fallot following a palliative, now obstructed, Blalock-Taussig shunt in a man who presented for emergent noncardiac surgery. Due to limited in-house records, managing this complex patient presentation required obtaining outside-hospital records, performing point-of-care diagnostic studies, and coordinating with the surgical team. We employed monitored anesthesia care with the option to convert to general anesthesia if needed. The patient was discharged after a 3-day intensive care unit stay and cleared for normal activity at his 3-week follow-up. This case highlights the importance of interdisciplinary collaboration, knowledge of prior surgical history, and understanding intraoperative hemodynamic goals for successful planning and perioperative management.
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