Atrial Septal Defect with Interstitial Lung Disease

Vivek Agnihotri
Description Earlier you have seen several of awake cardiac surgeries in our series. This is another interesting patient a 45 year old male with interstitial lung disease along with atrial septal defect. He also had hypertension and diabetes. He had progressively deteriorating symptoms and high Pulmonary Artery Pressures but a persistent left to right shunt. His gas exchange was fairly well preserved. Operating him was a challenge as if we subjected him to general anesthesia and mechanical ventilation, it would have been difficult- may be impossible- to wean him off ventilator- because of his pre-existing lung disease. Hence it was decided to operate him under thoracic epidural anesthesia with patient being awake during the surgery. We took up the challenge and operated him. We succeeded in doing the surgery awake and the patient recovered well with improved oxygenation and other parameters. We put in a fenestrated valved patch which would allow flow of blood from right atrium to left atrium at a later stage if his right sided pressures increased due to his lung disease. We did the surgery at Indore, MP India. Our team included Surgeons Dr Kshitij Dubey, Dr Sushil Jain, Anaesthesiologist Dr Gagan Shrivastav, Dr Vivek Agnihotri and Perfusionist MV Krishna Mohan, Chest physician Dr Ashok Bajpai and Cardiologist Dr AD Bhatnagar. You can contact us for any other details/ clarifications on [email protected] or [email protected] Our contact numbers are +91 731 2445566, Fax: + ...
Media Tags
Intertitial , Lung , ASD , ILD , Cardiac , Surgery , Awake , Atrial , Septal , Defect , Thoracic , Epidural , Anaesthesia , Dhoble , Kshitij , Gagan , Sushil , Bhatnagar , Vivek , Agnihotri , Ashok , Bajpai , Minimally , Invasive , High , Pulmonary , Artery , Pressure , PAP , Fenestr ,
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