Anestesia e Pesquisa Clínica
Acesso livre

Abstrato

Anaesthetic Management of a Parturient With Uncorrected Tetralogy of Fallot with Pulmonary Artery Hypertension for Cesarean Section

Anshul Singh, Thilaka Muthiah, 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.