Open AccessLow Dose Combined Spinal-Epidural Anesthesia: An Anesthesia Technique for Cesarean Section in a Patient Suffering from Congenitally Corrected Transposition of Great Arteries and Severe Pulmonary Stenosis
Author(s) -
Dhruv Jain,
Kaushal Kumar,
Abhishek Singh,
Jyotsna Punj
Publication year - 2021
Publication title -
anestezi dergisi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.113
H-Index - 5
eISSN - 2687-2242
pISSN - 1300-0578
DOI - 10.5222/jarss.2021.22448
Subject(s) - medicine , great arteries , anesthesia , hemodynamics , stenosis , combined spinal epidural , surgery , cardiology , heart disease
A primigravida, aged 22 years, at 39th gestational week was hospitalized with dyspnea since onset of labor. On systemic evaluation and echocardiography, she was diagnosed to have congenitally corrected transposition of the great arteries (CCTGA) along with severe pulmonic stenosis and bidirectional ventricular and atrial septal defects. A multidisciplinary team provided initial symptomatic management, stratified the risk and planned for a cesarean section. A low-dose combined sequential spinal-epidural anesthesia with invasive monitoring was used which provided excellent surgical condition with stable intraoperative and postoperative hemodynamics.