Anaesthetic management of a parturient with uncorrected tetralogy of Fallot undergoing caesarean section

Parker, J.; Grange, C

doi:10.1016/j.ijoa.2014.10.002

Cited by 14 publications

(9 citation statements)

References 8 publications

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“…Anaesthesia in pregnancy with TOF has been reported, but this presentation as an emergency in shock is rare. Tawfik et al and Parker et al presented the successful management of caesarean section in pregnant patients with uncorrected TOF 6 7. The blood transfusion strategy in patients with congenital heart disease is not well defined 8.…”

Section: Discussionmentioning

confidence: 99%

Management of a parturient with uncorrected tetralogy of Fallot in shock: an anesthetic challenge

2019

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Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease. The survival of patients with uncorrected TOF till the fourth decade of life is rare (around 3%). Pregnancy in a patient with uncorrected TOF requires a multidisciplinary approach. A confluence of pregnancy, uncorrected TOF and shock is infrequent. The state of hypovolaemia and a decrease in systemic vascular resistance due to anaesthetic agents increase the right to left shunt. The decrease in pulmonary blood flow provokes a ‘hypercyanotic spell’. We report the successful management of 30-year-old pregnant (G3P2A2L0) with uncorrected TOF, presenting to the emergency department with incomplete abortion in shock.

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Section: Discussionmentioning

confidence: 99%

Management of a parturient with uncorrected tetralogy of Fallot in shock: an anesthetic challenge

2019

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“…In general, it is recommended that increasing PVR by the use of epinephrine be avoided. 14 We prepared vasopressors such as phenylephrine and norepinephrine, to manage hypotension; and nitroglycerin for pulmonary vasodilation. Phenylephrine and norepinephrine both can be used to maintain BP during spinal anesthesia for cesarean delivery, with the advantage of less depression of maternal HR and cardiac output.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management for cesarean delivery in a patient with uncorrected pulmonary atresia, ventricular septal defect and major aortopulmonary collateral arteries

Gang

Fang

et al. 2018

International Journal of Obstetric Anesthesia

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Pulmonary atresia witha ventricular septal defect and major aortopulmonary collateral arteries is an extremely rare congenital disorder characterized by a high risk of maternal mortality. We present the case of a 24-year-old primigravid woman with uncorrected pulmonary atresia, ventricular septal defect and major aortopulmonary collateral arterieswho presented at 35+5 weeks' gestation. Based on the pathophysiology of the congenital cardiac lesion, cesarean delivery was performed under epidural anesthesia under management by a multidisciplinary team. This report highlights the anesthesia management of a rare uncorrected congenital cardiac lesion for cesarean delivery.

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“…1 We congratulate the authors on their successful management and would like to share our experience of two similar cases. Our patients were both nulliparous with diagnosed TOF and neither had undergone surgery.…”

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confidence: 94%

Cesarean section in parturients with uncorrected tetralogy of Fallot

Tawfik

Tarbay

Abdelkhalek

2015

International Journal of Obstetric Anesthesia

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Anaesthetic management of a parturient with uncorrected tetralogy of Fallot undergoing caesarean section

Cited by 14 publications

References 8 publications

Management of a parturient with uncorrected tetralogy of Fallot in shock: an anesthetic challenge

Management of a parturient with uncorrected tetralogy of Fallot in shock: an anesthetic challenge

Anesthetic management for cesarean delivery in a patient with uncorrected pulmonary atresia, ventricular septal defect and major aortopulmonary collateral arteries

Cesarean section in parturients with uncorrected tetralogy of Fallot

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