Case of anesthetic management of a patient with sickle cell disease for pericardiectomy: anterior pericardiotomy and avoiding cardiopulmonary bypass
Patients having sickle cell disease can land up to the anesthetist for various purposes like surgery, acute pain management and intensive care for acute respiratory failure. Our case was of a 20-year-old female patient presented with anemia and symptoms of constrictive pericarditis. Following investigations, which were also suggestive of sickle cell disease, she was planned for pericardiectomy under general anesthesia. We performed anterior pericardiectomy rather than a complete pericardiotomy to avoid cardiopulmonary bypass and to decrease the chance of postoperative complications.
. Vinchinsky EP, Lubin BH. Sickle cell anemia and related haemoglobinopathies. Pediatr Clin North Am 1980;27:429-47. https://doi.org/10.1016/S0031-3955(16)33860-3
. Bunn HF. Pathogenesis and treatment of sickle cell disease. N Engl J Med 1997;337:762. https://doi.org/10.1056/NEJM199709113371107 PMid:9287233
. Pokharel JN, Sharma A, Upreti MR, Koirala R, Sharma J, Pradhan S. Fast-Track Cardiac Anaesthesia at a Tertiary Care Cardiac Centre in Nepal. Nepalese Heart Journal 2013;10(1):6-11. https://doi.org/10.3126/njh.v10i1.9739
. Goldberg MA, Brugnara C, Dover GJ, Schapira L, Lacroix L, Bunn HF. Treatment of Sickle cell anemia with hydroxyurea and erythropoietin. N Engl J Med 1990;323:366-72. https://doi.org/10.1056/NEJM199008093230602
. Morrison JC, Whybrew WD, Bucovaz ET. Use of partial exchange transfusion preoperatively in patients with sickle cell hemoglobinopathies. Am J Obstet Gynecol 1978;132:59-63. https://doi.org/10.1016/0002-9378(78)90799-8
. Pagani FD, Polito RJ, Bolling SF. Mitral valve reconstruction in sickle cell disease. Ann Thorac Surg 1996;61(6):1841-3. https://doi.org/10.1016/0003-4975(96)80209-8
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