Open AccessAnesthetic experience of two consecutive caesarean sections in a parturient with congenitally corrected transposition of great arteries and complete heart block: A case report
Author(s) -
Venkatesh Selvaraj,
Revathy Raja,
Sreekumar Eranoormana Jayanandan,
Shakthy Malathy Venkatesh
Publication year - 2016
Publication title -
journal of obstetric anaesthesia and critical care/journal of obstetric anaesthesia and critial care
Language(s) - English
Resource type - Journals
eISSN - 2249-9539
pISSN - 2249-4472
DOI - 10.4103/2249-4472.181064
Subject(s) - medicine , great arteries , heart disease , heart block , anesthesia , caesarean section , heart failure , hemodynamics , anesthetic , pregnancy , surgery , cardiology , electrocardiography , biology , genetics
We describe the clinical course of two subsequent caesarean sections in the same parturient with congenitally corrected transposition of great arteries (CCTGA) complicated with complete heart block. CCTGA represents <1% of all forms of congenital heart diseases. In such patients, the hemodynamic effects of pregnancy and surgery may trigger systemic ventricular failure. In these parturients, ventricular dysfunction will also progress rapidly with subsequent pregnancies. The literature review showed no evidence describing the anesthetic management of these high-risk parturients. We used combined spinal epidural anesthesia uneventfully for both the caesarean sections in this patient. This case report will discuss the details of this rare congenital heart disease and the anesthetic management