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Abstract
Pregnancy in a patient with large ventricular septal defect (VSD) with severe pulmonary hypertension (PAH) increases the risk of mortality severalfold. This when combined with single ventricle physiology forms a rare and deadly combination. A 26-year-old female presented for elective LSCS at 35 weeks gestation. She had a large VSD with severe PAH with a single ventricle physiology. We report the successful conduct of a caesarean section in this patient under graded epidural anaesthesia.
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References
- Luthra A, Bajaj R, Jafra A, et al. Anesthesia in pregnancy with heart disease. Saudi journal of anaesthesia. 2017;11(4):454-71.
- Delsol-Gyan D, Aniteye E, Oppong S, et al. Pregnancy in non-palliated functionally single ventricle: challenges of management in resource-poor settings. Pan Afr Med J 2020;35:6.
- Celik M, Dostbil A, Alici HA, et al. Anaesthetic management for caesarean section surgery in two pregnant women with severe pulmonary hypertension due to mitral valve stenosis. Balkan Med J 2013;30(4):439-41.
- Mishra L, Pani N, Samantaray R, et al. Eisenmenger's syndrome in pregnancy: Use of epidural anesthesia and analgesia for elective cesarean section. J Anaesthesiol Clin Pharmacol 2014;30(3):425-6.
- Ture P, Shaikh S, Hungund S, et al. Anaesthetic management of a rare case of single ventricle heterotaxy syndrome for emergency caesarean section. Indian J Anaesth 2015;59(7):439-41.
- Koraki E, Vasiliadis K, Aslanidis Tet al. Epidural anaesthesia for caesarian section in a parturient with a single ventricle. Eur J Anaesthesiol 2009;26(9):788-90.
- Yadav R, Solanki SL. “Graded” epidural anesthesia for renal transplant in a patient with dilated cardiomyopathy and severe left ventricle systolic dysfunction. Saudi J Anaesth 2017;11(2):222-4.
References
Luthra A, Bajaj R, Jafra A, et al. Anesthesia in pregnancy with heart disease. Saudi journal of anaesthesia. 2017;11(4):454-71.
Delsol-Gyan D, Aniteye E, Oppong S, et al. Pregnancy in non-palliated functionally single ventricle: challenges of management in resource-poor settings. Pan Afr Med J 2020;35:6.
Celik M, Dostbil A, Alici HA, et al. Anaesthetic management for caesarean section surgery in two pregnant women with severe pulmonary hypertension due to mitral valve stenosis. Balkan Med J 2013;30(4):439-41.
Mishra L, Pani N, Samantaray R, et al. Eisenmenger's syndrome in pregnancy: Use of epidural anesthesia and analgesia for elective cesarean section. J Anaesthesiol Clin Pharmacol 2014;30(3):425-6.
Ture P, Shaikh S, Hungund S, et al. Anaesthetic management of a rare case of single ventricle heterotaxy syndrome for emergency caesarean section. Indian J Anaesth 2015;59(7):439-41.
Koraki E, Vasiliadis K, Aslanidis Tet al. Epidural anaesthesia for caesarian section in a parturient with a single ventricle. Eur J Anaesthesiol 2009;26(9):788-90.
Yadav R, Solanki SL. “Graded” epidural anesthesia for renal transplant in a patient with dilated cardiomyopathy and severe left ventricle systolic dysfunction. Saudi J Anaesth 2017;11(2):222-4.