Anesthesia & Clinical Research
Open Access

Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India

Publications

• 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

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