A CASE REPORT ON ANESTHETIC MANAGEMENT FOR REPAIR OF CLEFT PALATE, WITH CONGENITAL AROTIC STENOSIS

A. Mani Meghana, T. V. L. Tanuja, M. Suchitra

Abstract


Cleft lip/palate are the most common craniofacial anomalies in children, with an incidence of 1:800 live births. Cleft palate alone occurs in 1:2000 live births. Cardiac anomalies are one of the most common congenital disorders associated in cleft lip and palate patients.

We report a 19 year old female patient came for repair of cleft palate, with known case of Aortic stenosis since childhood and undergone aortic ballon volvotomy, AV repair, cuspal thinning with post op arotic gradient of 100 m/s. The authors report successful anesthetic management for repair of cleft palate in presence of aortic stenosis in a 19 year old female patient.

After keen preoperative assessment general features difficulty was faced during intubation otherwise the intra operative procerdure was uneventful. Post operative analgesia managed with intravenous paracetamol.


Keywords


CHD – aortic stenosis – fixed cardiac output state, Preload should be maintained, Avoid bradycardia/tachycardia, Hypnosis using benzodiazepines, fentanyl. Cleft palate associated syndrome - Treacher collines, Hemi facial microsomia, Velocardio facial synd

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References


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