Ventriculo-peritoneal shunt surgery in an infant with double aortic arch, patent ductus arteriosus and atrial septal defect
Singh, M.; Bindra, A.; Rath, G.P.; Malik, V.; Prabhakar, H.
Middle East Journal of Anaesthesiology 20(2): 309-312
2009
ISSN/ISBN: 0544-0440 PMID: 19583087 Document Number: 635178
Double aortic arch with patent ductus arteriosus and atrial septal defect is an uncommon association. Such complex cardiac lesions may complicate an otherwise normal anesthetic course. We came across a case with aqueductal stenosis and hydrocephalus, scheduled for ventriculo-peritoneal shunt surgery, on an emergent basis. The child was managed successfully. The anesthetic implications of resultant left-to-right shunt with increased intracranial pressure have been described.