Anaesthetic management in a patient undergoing tooth extraction with a comorbid double outlet right ventricle: A case report

Abstract

Background: This article presents a case of a patient undergoing tooth extraction with general anaesthesia with a comorbidity of double outlet right ventricle (DORV), highlighting anaesthesia considerations for this rare congenital malformation.

Case presentation: A 9-year-old female patient was referred to the Department of Oral and Maxillofacial Surgery as preparation for open heart surgery. The patient was diagnosed with chronic multiple apical periodontitis, hence was scheduled for teeth extraction surgery with general anaesthesia. The patient had congenital heart disease (CHD) and a previous brain abscess. Optimal anaesthetic management of patients in a complex case necessitates understanding the patient's pathophysiology and multiple pre-anaesthesia visits before and after surgery.

Conclusion: With more CHD patients having non-cardiac surgeries, there's a need for tailored anaesthesia management. As evidence-based guidelines in this patient group are lacking, understanding CHD physiology helps plan anaesthesia. Anaesthesiologists must adapt management to each patient's needs for safety.