1. Novel Peri-Operative Strategy for Sickle Cell Disease with Tetralogy of Fallot
- Author
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Naveed Khan, Vaibhav Dhabe, Ameya Kaskar, Parthiban Kuppusamy, Supratim Sen, and Gaurav Kumar
- Subjects
congenital cyanotic heart disease ,exchange transfusion ,sickle cell disease ,sickling crisis ,Anesthesiology ,RD78.3-87.3 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Peri-operative management of cyanotic congenital heart disease in a patient of sickle cell disease (SCD) can be challenging. We report a case of Tetralogy of Fallot and homozygous SCD with history of multiple blood transfusions and sickle cell crises who underwent intracardiac repair. Hemoglobin S level was reduced from 75% pre-operative to 21.8% postoperative with a combination of pre-operative blood transfusion, intraoperative exchange transfusion, and normothermic cardiopulmonary bypass (CPB). Pre-operative optimization and safe intraoperative conduct were essential to avoid sickling crises.
- Published
- 2024
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