Gauhati Medical College Hospital,
Guwahati, Assam-781005
India
Case Report
Laparoscopic Cholecystectomy for Children with Repaired Tetralogy of Fallot with Valve Replacement on Anticoagulant: A Case Report and Anticoagulant Management
Author(s): Mridu Paban Nath, Rajib Bhattacharyya and Malavika BarmanMridu Paban Nath, Rajib Bhattacharyya and Malavika Barman
A 7 year old boy with a history of repaired tetralogy of Fallot with aortic valve replacement was scheduled to undergo laparoscopic cholecystectomy. His significant history comprises of post cardiac surgery with warfarin anticoagulant. Perioperatively warfarin was converted to low molecular weight heparin and the patient underwent general endotracheal anaesthesia with caudal epidural anaesthesia for laparoscopic cholecystectomy. Anaesthesia induction, intraoperative course and postoperative period proceeded uneventfully and the patient quickly progressed to the preoperative level of functioning. The perioperative anticoagulant management in such patients of repaired tetralogy of Fallot with aortic valve replacement is reviewed.
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DOI:
10.4172/2329-9517.1000158
Cardiovascular Diseases & Diagnosis received 427 citations as per Google Scholar report