ISSN: 2155-6148
Sumit Soni
India
Case Report
Anesthetic Management of Double Atrial Septal Defect with Moderate Pulmonary Hypertension Emergency Caesarean Section
Author(s): Balbir Kumar, Sumit Soni and Anudeep Jafra
Balbir Kumar, Sumit Soni and Anudeep Jafra
Atrial septal defect (ASD) is common congenital heart disease in adults. Most of the cases are detected in childhood, whereas few cases reach adulthood undiagnosed. It is the most common congenital heart lesion in child bearing age group girls. ASD leads to various complications depending upon size, position of ASD and shunt flow direction and hemodynamic change. Pulmonary artery hypertension is one such complication which occurs due to large blood flow across pulmonary artery due to left to right shunting. Pulmonary hypertension is defined as a mean pulmonary arterial pressure greater than 25 mm Hg at rest or greater than 30 mmHg during exercise. We reported a case of double ASD of size 10 mm and 5 mm with moderate pulmonary artery hypertension which underwent emergency caesarean section for meconium stained liquor. Under all aseptic precaution epidural catheter was placed at L3-4 le.. View More»
DOI:
10.4172/2155-6148.1000876