Anesthetic Management of a Patient with Associated VACTERL Anomalies and Uncorrected Tetralogy of Fallot Posted for Appendicectomy

VACTERL association includes multiple congenital anomalies like vertebral defects, anal atresia, cardiac defects, tracheo-oesophageal fistula, renal anomalies and limb abnormalities. But its association with Fallot?s tetrology is rare case. Anesthetic management in such cases becomes challenging. Here we are discussing anesthetic management in a case with VACTERL anomalies and uncorrected Tetrology of Fallot undergoing open appendicectomy in terms of preanaesthetic evaluation, induction and maintenance of anesthesia with postoperative follow up.