Anesthesia management for posterior correction of scoliosis in a child with absence of the right pulmonary artery:a case report
10.16352/j.issn.1001-6325.2025.04.0532
- VernacularTitle:右肺动脉缺如患儿行后路脊柱侧凸矫形术的麻醉管理一例
- Author:
Ziyi DAI
1
;
Lulu MA
Author Information
1. 中国医学科学院北京协和医学院 北京协和医院 麻醉科,北京 100730
- Keywords:
unilateral absence of pulmonary artery;
scoliosis;
hemoptysis
- From:
Basic & Clinical Medicine
2025;45(4):532-535
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the perioperative anesthesia management strategy for posterior correction of scoliosis in children with unilateral absence of pulmonary artery(UAPA).Methods Clinical data of one case of an adolescent male with absence of right pulmonary artery receiving posterior scoliosis correction surgery was retrospectively collect-ed;the preoperative evaluation,intraoperative anesthesia management and postoperative pain treatment were analyzed and summarized.Results UAPA is a rare congenital cardiovascular anomaly that can further increase the cardiovas-cular and respiratory risks of surgical treatment in scoliosis patients.As the patient was concurrent with hemoptysis,after multidisciplinary consultation and evaluation,an emergency plan for hemoptysis was developed,and invasive ar-terial pressure monitoring,sufficient analgesia,close respiratory monitoring,and lung protective ventilation strategy was performed intraoperatively.Ensuring respiratory function after surgery,multimodal analgesia was administered.Confirming satisfactory treatment results,the patient was discharged from the hospital.Conclusions For symptomatic UAPA patients,clinicians should focus on the circulation and respiratory system,maintain perioperative hemodynamic stability,prevent hypoxia and carbon dioxide retention so to reduce the risk of complications.
