CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2022; 09(01): 044-046
DOI: 10.1055/s-0041-1731601
Case Report

Anesthetic Management in an Infant with Dandy–Walker Syndrome Presenting with Acyanotic Heart Disease and Hydrocephalous Post-COVID-19 Recovery: A Rare Experience

Shraya Banerjee
1   Neuroanaesthesia and Critical Care, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, India
,
Nidhi Gupta
1   Neuroanaesthesia and Critical Care, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, India
,
Deepa Sarkar
2   Cardiac Anaesthesia, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, India
,
Kalyanpury J. Choudhury
1   Neuroanaesthesia and Critical Care, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, India
› Author Affiliations

Abstract

We report a case of hydrocephalus with Dandy–Walker malformation in a 2-month-old girl child recently recovered from COVID-19. The child was detected to have acyanotic heart disease with left-to-right shunt and severe pulmonary arterial hypertension during the preoperative evaluation process for ventriculoperitoneal (VP) shunt placement. We share our experience of the perioperative management for pulmonary artery banding (PAB) and patent ductus arteriosus ligation as a part of staged cardiac corrective surgery, followed by VP shunt to relieve hydrocephalus in the single setting. Our management was focused on the preservation of the normal cerebral and cardiac physiology to prevent rise in intracranial pressure and pulmonary artery pressure. A multidisciplinary team, consisting of cardiac- and neuroanesthesiologists and cardiac and neurosurgeons, was involved in management of the case. Diligent maintenance of airway, stable hemodynamics, meticulous ventilation, along with postoperative ICU management helped in the successful outcome of this unique case.



Publication History

Article published online:
02 August 2021

© 2021. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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