Anesthetic Implications for Cesarean Section in a Parturient with Complex Congenital Cyanotic Heart Disease.

Abstract

The discordance between increased physiological demand during pregnancy and congenital cardiac pathology of a parturient is a perilous threat to the maternal-fetal well-being. Early involvement of a multidisciplinary team is essential in improving peripartum morbidity and mortality. Designing the most appropriate anesthetic care will require a concerted effort, with inputs from the obstetricians, obstetric and cardiac anesthesiologists, cardiologists, neonatologists, and cardiothoracic surgeons. We report the multidisciplinary peripartum care and anesthetic management for cesarean section (CS) of a 28-year-old primigravida who has partially corrected transposition of the great arteries, atrial and ventricular septal defect, dextrocardia, right ventricle hypoplasia, and tricuspid atresia.

• Authors: Huili Lim, Chuen Jye Yeoh, Jerry Tan, Harikrishnan Kothandan, May U S Mok
• Journal: Case reports in anesthesiology (Case Rep Anesthesiol) Vol. 2018 Pg. 2616390 ( 2018) ISSN: 2090-6382 [Print] United States
• PMID: 29796317 (Publication Type: Case Reports)