ANAESTHETIC MANAGEMENT OF A PEDIATRIC PATIENT WITH ATRIAL SEPTAL DEFECT UNDERGOING NON-CARDIAC SURGERY: A CASE REPORT

Abstract

This case report presents the anaesthetic management of a 2-year-old male child with bilateral congenital thumb anomalies and an incidentally diagnosed moderate ostium secundum atrial septal defect (ASD) undergoing elective pollicisation surgery. Despite the presence of congenital heart disease, the patient exhibited no pulmonary hypertension or cardiac symptoms. A multidisciplinary approach involving cardiology consultation and meticulous perioperative planning enabled safe administration of general anaesthesia. The case highlights the importance of tailored anaesthetic strategies in pediatric patients with congenital heart defects undergoing non-cardiac procedures.