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BJA Advance Access published online on June 23, 2006
British Journal of Anaesthesia, doi:10.1093/bja/ael148
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Accepted April 20, 2006

Case Report

Anaesthetic management for hip arthroplasty in a 46-yr-old patient with uncorrected truncus arteriosus type IV

M. U. Fischer 1 * and H.-J. Priebe 1

1 Department of Anaesthesia, University Hospital, Hugstetter Strasse 55, 79106 Freiburg, Germany

* To whom correspondence should be addressed.
M. U. Fischer, E-mail: fischerm{at}ana1.ukl.uni-freiburg.de


  Abstract

In modern adult anaesthetic practice uncorrected complex congenital heart lesions are rare. Persistent truncus arteriosus accounts for only 1.2-3% of all congenital heart malformations. If not corrected, fewer than 20% of these patients survive the first year of life. Here we report the successful management of an adult patient with uncorrected truncus arteriosus who presented for hip arthroplasty.

Keywords: anaesthesia, general; complications, truncus arteriosus; heart, congenital defects; monitoring, echocardiography.
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