Wıllıams sendromlu hastada anestezik yaklaşım: Olgu sunumu
Williams sendromu, kardiyovasküler. kas-iskelet ve endokrin sistem başta olmak iizere pek çok sistemi etkileyen multisistemik bir sendromdur. Anestezik yaklaşımda ani ölümlere yol açan kardiyovasküler patolojilere ve havayolu sağlanmasını zorlaştıran kraniyofasiyal deformitelere dikkat edilmelidir. Bu olgu sunumunda Williams sendromlu iki yaşındaki bir hastada inguinal lıerni operasyonu sırasındaki anestezik yaklaşımın tartışılması amaçlandı.
Anesthetic management in a patient with williams syndrome: A case report
Williams syndrome is a multi-systemic syndrome particularly affecting the cardiovascular, muscle-skeleton and endocrine system. Attention should be paid on cardiovascular pathologies causing sudden death and craniofacial deformities causing airway diffuculties in anesthetic management. In this case report we aimed at discussing the anesthetic management during an inguinal hernia operation in a two year-old patient with Williams syndrome.
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- 1. Williams JC, Barratt-Boyes BG. Lowe JB. Supravalvular aortic stenosis. Circulation 1961:24:1311-8.
- 2. Medley J. Russo P. Tobias JD. Perioperative care of the patient with Williams syndrome. Paediatr Anaesth 2005: l5(3):243-7.
- 3. Anagnostopoulou S, DimitrouRs D, Troupis TG. et al. Amyand's hernia: a case report. World J Gastroenterol 2006;l2(29):4761-3.
- 4. Horowitz PE, Akhtar S. Wulff JA. Al Fadley F, Al Halees Z. Coronary artery disease and anesthesia-related death in children with Williams syndrome. J Cardiothorae Vase Anesth 2(H)2:I6(6): 739-41.
- 5. Gupta P. Tobias JD. Goyal S. et al. Sudden cardiac death under anesthesia in pediatric patient with Williams syndrome: a case report and review oi literature. Ann Card Anaesth 2010:13( I ):44-8.
- 6. Braqq K. Fedel GM. DiProsperis A. Cardiac arrest under anesthesia in a pediatric patient with Williams syndrome: a case report. AANA J 2005:73(4):2X7-93.
- 7. Monfared A. Messner A. Death following tonsillectomy in a child with Williams syndrome. Int J Pediatr Otorhinolaryngol 2006; 70(6): 1133-5.
- 8. Bird LM. Billman GF. Lacro RV. et al. Sudden death in Williams syndrome: report of ten cases. J Pediatr 1996:129(6):926-31.
- 9. Lashkari A, Smith AK, Graham JM Jr. Williams-Beuren Syndrome: an update and review for the primary physician. Clin Pediatr 1999:38(4): 189-208.
- 10. Patel J. Harrison M.J. Williams syndrome: masseter spasm during anaesthesia. Anaesthesia 199l;46(2):l 15-6.
- 11. Ingellinger JR. Newburger JW. Spectrum of renal anomalies in patients with Williams syndrome. J Pediatr 1991:119(5):771-3.
- 12. Pober BR. Lacro RV. Rice C. Mandell V. Teele RL. Renal findings in 40 individuals with Williams syndrome. Am J Med Genet
- 1993;46_____3):27M.
- 13. Mammi I. lies DE, Smeets D. Clementi M. Tenconi R. Anesthesiology problems in Williams Syndrome: the CACNL2A locus is not involved. Hum Genet 1996:98(3):3l7-20.
- 14. Cammareri V, Vignati G. Nocera G. Beck-Peccoz P, Persani L. Thyroid hemiagenesis and elevated thyrotropin levels in a child with williams syndrome. Am J Med Genet 1999;85(5):49J—4.
- 15. Farling PA. Thyroid disease. Br J Anesth 2000;85( 1): 15-28.
- 16. Morris CA, Mervis CB. Williams syndrome and related disorders. Annu Rev Genomics Hum Genet 2(HK>;I:46l-84.
- 17. Astuto M. Sapienza D. Di Benedetto V, Disma N. Spinal anesthesia for inguinal hernia repair in an infant with Williams syndrome: case report. Paediatr Anaesth 2(H)7; 17(2): 193-5.