Anaesthetic Management of Kartageners Syndrome Posted for Kasai Surgery

Authors

  •   Saraswathi Nagapaa Department of Anesthesia, Bangalore Medical College and Research Institute, Bengaluru - 560002, Karnataka
  •   Sandhya Kalappa Department of Anesthesia, Bangalore Medical College and Research Institute, Bengaluru - 560002, Karnataka

DOI:

https://doi.org/10.4103/kaj/2020/v18i1-2/159365

Keywords:

Anesthesia, Biliary Atresia, Hepatobiliary Surgery, Situs Inversus Totalis

Abstract

Kartagener's syndrome is a rare autosomal recessive disorder presenting with a triad of sinusitis, bronchicetasis and situs inversus with dextrocardia. It occurs in 50% of patients with situs inversus .Patients with genetic disorders associated with multiple congenital anomalies present unique challenges to the anesthesiologist. We report the successful intraoperative management of a child with biliary atresia, situs inversus totalis, and Kartegener syndrome scheduled for corrective biliary surgery. We recommend that patients with multiple congenital anomalies need to be thoroughly and cautiously evaluated.

Downloads

Download data is not yet available.

Downloads

Published

2020-06-04

How to Cite

Nagapaa, S., & Kalappa, S. (2020). Anaesthetic Management of Kartageners Syndrome Posted for Kasai Surgery. Karnataka Anaesthesia Journal, 18(1-2), 37–40. https://doi.org/10.4103/kaj/2020/v18i1-2/159365

References

Losa M, Ghelfi D, Hof E, Fanconi S, Helix H. Kartagener syndrome: An uncommon cause of neonatal respiratory distress? Eur J Paediatr, 1995; 154:236-238. https://doi.org/10.1007/BF01954280. PMid:7758526.

Chuhwak EK. Kartagener syndrome in a Nigerian African−A case report and literature review. Niger J Med, 2009; 18(4):424-427. PMID: 20120152. https://doi.org/10.4314/njm.v18i4.51258. PMid:20120152.

O’Callaghan C, Chetcuti P, Moya E. High prevalence of primary ciliary dyskinesia in a British Asian population. Arch Dis Child, 2010; 95(1):51-52. Epub. 2009 Aug 30. PMID: 19720631. https://doi.org/10.1136/adc.2009.158493. PMid:19720631.

Burduk P, Wawrzyniak, K, Kaźmierczak W, Kusza K. Kartagener’s syndrome - anaesthetic considerations for ENT surgery. Otolaryngologia polska. The Polish otolaryngology, 2012; 66:291-294. https://doi.org/10.1016/j.otpol.2012.05.020.

Garg R, Goila A, Sood R, Pawar M, Borthakur B. Perioperative anesthetic management of a patient with biliary atresia, situs inversus totalis, and kartegener syndrome for hepatobiliary surgery. J Anaesthesiol Clin Pharmacol, 2011; 27(2):256-258. https://doi.org/10.4103/0970-9185.81837. PMid: 21772694 PMCid:PMC3127313.

Bajwa SS, Kulshrestha A, Kaur J, Gupta S, Singh A Amarjit, Parmar SS. The challenging aspects and successful anaesthetic management in a case of situs inversus totalis. Indian Journal of Anaesthesia, 2012; 56(3):295-297. https://doi.org/10.4103/0019-5049.98781. PMid:22923832 PMCid:PMC3425293.

Ul Hassan A, Hassan G, Khan SH, Rasool Z, Abida A. Ciliopathy with special emphasis on Kartageners syndrome. Int J Health Sci (Qassim), 2009; 3(1):65-69.