Segmental epidural anesthesia for cesarean section in a parturient with uncorrected Taussig–Bing anomaly with transposition of the great arteries physiology
| Autor: | Amrutha Bindu Nagella, Gayatri Mishra, Bangaru Vivek, S Parthasarathy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
congenital hereditary and neonatal diseases and abnormalities business.industry medicine.medical_treatment Physiology Oligohydramnios Case Report medicine.disease Surgery segmental epidural anesthesia medicine.anatomical_structure Taussig-Bing anomaly Great arteries Right ventricular hypertrophy Ventricle Taussig-Bing Anomaly Anesthesia Eisenmenger syndrome medicine.artery Pulmonary artery Materials Chemistry medicine Caesarean section business |
| Zdroj: | Anesthesia, Essays and Researches |
| ISSN: | 2229-7685 0259-1162 |
| Popis: | Here, we report a rare case of a 23-year-old term parturient with Eisenmenger syndrome due to Taussig–Bing anomaly presenting with gestational hypertension, oligohydramnios, and intrauterine growth retardation posted for elective cesarean section. Preoperatively, echocardiography of the patient was suggestive of double-outlet right ventricle (DORV) with large sub-pulmonic ventricular septal defect (VSD), right ventricular hypertrophy, bidirectional shunt and severe pulmonary artery hypertension. The surgery was successfully performed under a graded segmental epidural anesthesia with 2% lignocaine. Further contrast-enhanced computer tomography scan was done postoperatively and a diagnosis of Taussig–Bing anomaly (DORV with sub-pulmonic VSD) with transposition of the great arteries physiology was made. This is one of the rare cases of anesthetic management for cesarean section in a parturient with uncorrected Taussig–Bing anomaly being reported. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|