Parturient with double outlet right ventricle without pulmonary stenosis: Perioperative management

Singh, Akhil Kant; Singh, Preet Mohinder; Arora, Shubhangi; Rewari, Vimi; Trikha, Anjan

doi:10.4103/2249-4472.104738

Cited by 2 publications

(2 citation statements)

References 6 publications

(6 reference statements)

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“…Incidence rate of hypotension was approximately 31% in patients who were given the 5 mg bupivacaine combined with fentanyl 25 µg, when compared to 94% in patient who only get 10 mg bupivacaine without opioids. 4,5…”

Section: Discussionmentioning

confidence: 99%

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Anesthesia Management in Patient with Uncorrected Double Outlet Right Ventricle Underwent Cesarean Section: Serial Case Report

Fadlilah

Hartono

Isngadi

2022

JAP

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Background: Double outlet right ventricle (DORV) is a rare cardiac condition in which the heart demonstrates single ventricle physiology. Pregnancy complicates cyanotic heart disease as the decrease in systemic vascular resistance (SVR) worsens the right-to-left shunt. The effect worsens by neuraxial anesthesia for cesarean delivery. Anesthesia for these patients needs understanding for the physiology of DORV in order to maintain stable hemodynamics. Heart defect still become non obstetric main factor causing morbidity and mortality in pregnant woman. Case: We present three case of parturients with DORV scheduled for cesarean section. Elective caesarean section was scheduled using spinal anesthesia hyperbaric bupivacain combined with fentanyl. Hemodynamic during operation was stable. Conclusion: Low dose spinal anesthesia performed in this patient did not cause hypotension and minimal hemodynamic changes because the intensity of the sympathetic block was lower.

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Section: Discussionmentioning

confidence: 99%

“…Both the systemic and pulmonary circulations are in parallel, and thus a delicate balance exists between the two. 4 Four different anatomic types of DORV are defined on the basis of the relationship of the ventricular septal defect (VSD) to the great arteries: subaortic VSD, sub-pulmonary VSD, doubly committed VSD, and noncommitted VSD.…”

Section: Introductionmentioning

confidence: 99%