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Case Reports
Anaesthetic management of a patient with Williams syndrome undergoing aortoplasty for supravalvular aortic stenosis.
- S Kawahito, H Kitahata, H Kimura, K Tanaka, Y Sakai, Y Hirose, and S Oshita.
- Department of Anaesthesiology, Tokushima University School of Medicine, Japan. kawahito@clin.med
- Can J Anaesth. 1998 Dec 1; 45 (12): 1203-6.
PurposeA case of a patient associated with Williams syndrome undergoing aortoplasty for supravalvular aortic stenosis is presented.Clinical FeaturesWilliams syndrome is a rare disease associated with a characteristic facies, supravalvular aortic stenosis, and mental retardation. A 15-yr-old girl with Williams syndrome underwent aortoplasty for supravalvular aortic stenosis. Anaesthesia was induced with fentanyl and thiamylal, and maintained with nitrous oxide, oxygen, sevoflurane, and continuous intravenous infusion of fentanyl. Supravalvular aortic stenosis was evaluated using a multiplane transesophageal echocardiography (TEE) probe before and after repair.ConclusionMultiplane TEE was found to be very useful for anaesthetic management in a patient with Williams syndrome undergoing aortoplasty for supravalvular aortic stenosis.
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