Anaesthetic management of ventricular septal defect closure under cardiopulmonary bypass in a child with recently diagnosed hepatitis A.

摘要: Hepatitis A is highly contagious and spread largely by the fecal-oral route, more commonly in areas of overcrowding poor sanitation. Infection common children but often asymptomatic. Acute liver failure complicates acute hepatitis only 0.1% cases chronic infection does not occur. 2-yr-old female baby was operated for Ventricular Septal Defect (VSD) closure under cardiopulmonary bypass. She diagnosed to have while preoperative evaluation decided operate once phase resolves as indicated enzymes touching baseline. General anesthesia induced with morphine, atracurium maintained propofol atracurium. No complications were encountered during perioperative period. We concluded that following hepatitis, surgery can be done on bypass early using anesthetic agents are least hepatotoxic metabolism which less affected disease. Additionally insult from minimized reducing time, non pulsatile flows normothermia. By close follow-up patients clinically biochemically, it possible reduce complication rates a minimum. Key words: A, general anaesthesia, bypass, ventricular septal defect.