{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:28:59Z","timestamp":1767677339861,"version":"3.48.0"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>With only about 3% of patients with uncorrected tetralogy of Fallot surviving past age 40, we describe the case of an uncorrected tetralogy of Fallot following a palliative, now obstructed, Blalock-Taussig shunt in a man who presented for emergent noncardiac surgery. Due to limited in-house records, managing this complex patient presentation required obtaining outside-hospital records, performing point-of-care diagnostic studies, and coordinating with the surgical team. We employed monitored anesthesia care with the option to convert to general anesthesia if needed. The patient was discharged after a 3-day intensive care unit stay and cleared for normal activity at his 3-week follow-up. This case highlights the importance of interdisciplinary collaboration, knowledge of prior surgical history, and understanding intraoperative hemodynamic goals for successful planning and perioperative management.<\/jats:p>","DOI":"10.1177\/2050313x251328764","type":"journal-article","created":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T06:51:45Z","timestamp":1742626305000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative management of uncorrected tetralogy of Fallot presenting for emergent noncardiac surgery: A case report"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4370-0362","authenticated-orcid":false,"given":"Matthew","family":"Campbell","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Okola U.","family":"Tull","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zulqar","family":"Islam","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Sakharpe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2731-7844","authenticated-orcid":false,"given":"Caryl","family":"Bailey","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,22]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0296-8"},{"key":"e_1_3_4_3_2","article-title":"Current outcomes and treatment of tetralogy of Fallot","volume":"8","author":"van der Ven JPG","unstructured":"van der Ven JPG, van den Bosch E, Bogers AJCC, et al. Current outcomes and treatment of tetralogy of Fallot. F1000Research; 8: F1000 Faculty Rev-1530.","journal-title":"F1000Research"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/aca.ACA_80_17"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2022-321512"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1089253211434749"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2022.09.062"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjcpc.2023.09.003"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.48036\/apims.v18i1.509"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.4103\/aer.AER_65_20"},{"issue":"11","key":"e_1_3_4_11_2","article-title":"The successful management of an adult patient with unrepaired tetralogy of Fallot for caesarian section: a case report from South Africa","volume":"15","author":"Morley-Jepson K","year":"2023","unstructured":"Morley-Jepson K, Gayaparsad M, Smith O. The successful management of an adult patient with unrepaired tetralogy of Fallot for caesarian section: a case report from South Africa. Cureus 2023; 15(11): e49689.","journal-title":"Cureus"}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251328764","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X251328764","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251328764","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:18:45Z","timestamp":1767676725000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X251328764"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,22]]},"references-count":10,"alternative-id":["10.1177\/2050313X251328764"],"URL":"https:\/\/doi.org\/10.1177\/2050313x251328764","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2025,3,22]]},"article-number":"2050313X251328764"}}