Case Reports in Anesthesiology
Volume 2012 (2012), Article ID 607140, 3 pages
Ambulatory Anesthesia in an Adult Patient with Corrected Hypoplastic Left Heart Syndrome
Department of Anesthesiology, McGaw Medical Center, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Received 21 June 2012; Accepted 24 September 2012
Academic Editors: M. Dauri, C.-H. Hsing, D. Lee, and I.-O. Lee
Copyright © 2012 Jennifer Knautz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
With recent advancements in clinical science, an increasing number of patients with congenital heart defects are surviving into adulthood and presenting for noncardiac surgeries. We describe one such example of a 26-year-old patient with corrected hypoplastic left heart syndrome presenting for knee arthroscopy and performed under general anesthesia with preoperative ultrasound guided saphenous nerve block. In this case, we review the anesthetic implications of corrected single ventricle physiology, anesthetic implications, as well as discuss the technique and role of saphenous nerve block in patients undergoing knee arthroscopy.