ISSN: 2155-6148
+44 1223 790975
Department of Anaesthesiology, University College of Medical Sciences and GTB Hospital, New Delhi, India
Case Report
Anaesthetic Management of a Parturient With Uncorrected Tetralogy of Fallot with Pulmonary Artery Hypertension for Cesarean Section
Author(s): Anshul Singh*, Thilaka Muthiah and Dalim Kumar Baidya
Tetralogy of Fallot (TOF), a common cyanotic congenital heart disease (CHD) in pregnant women, comprises of unrestricted
ventricular septal defect, overriding aorta, Right Ventricular Outflow Tract Obstruction (RVOTO) and resultant right
ventricular hypertrophy. Patients with uncorrected TOF cope poorly with cardiovascular changes of pregnancy, with 10%
mortality. PAH further increases the risk of cardiovascular adverse events. We report a rare case of a 30 year old primigravida,
with uncorrected TOF and severe PAH at 37 weeks of gestation with dyspnea. Cesarean section was performed under
Combined Spinal Epidural (CSE) anesthesia with invasive monitoring, with a favourable maternal and neonatal outcome... View More»
DOI:
10.35248/2155-6148.21.12.1010