Anaesthetic management of emergency lower segment caesarean section in a patient with Ebstein's anomaly

Gite, Jayshree V; Gangakhedkar, Gauri R; Nadkarni, Manali

doi:10.4103/ija.ija_426_18

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…In the presence of impaired right ventricular size and function, increased blood volume may be poorly tolerated and result in worsening of tricuspid incompetence, raised right atrial pressure and increased right to left shunting. 3 This anomaly does not have any effect on fertility, even in women with cyanosis. 4 According to the current guidelines, women with EA without cyanosis and heart failure are encountered to World Health Organization (WHO) risk class II and usually tolerate pregnancy well.…”

Section: Discussionmentioning

confidence: 97%

Successful Pregnancy in a Patient with Ebstein’s Anomaly: A Rare Case Report

Sharmin,

Begum

2023

Bangladesh J Obstet Gynaecol

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Ebstein’s anomaly, a rare congenital heart disease, occurring in 1 in 20,000 live births. The leaflets are placed deeper into the right ventricle instead of the normal position. Pregnancy however is well tolerated and the maternal risks of pregnancy co-relates well with the degree of tricuspid regurgitation, right ventricular function and presence of cyanosis. Aim is to emphasize the meticulous follow-up with fetal & maternal medicine specialist with multidisciplinary approach can give a successful outcome. Proper diagnosis and meticulous follow-up with good ANC have made this case, pregnancy with Ebstein’s anomaly successful. Bangladesh J Obstet Gynaecol, 2022; Vol. 37(1): 68-70

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Section: Discussionmentioning

confidence: 97%

Successful Pregnancy in a Patient with Ebstein’s Anomaly: A Rare Case Report

Sharmin,

Begum

2023

Bangladesh J Obstet Gynaecol

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“…Preporuke kardioloških udruženja su uvođenje obavezne profilakse infektivnog endokarditisa i tromboembolijske 11,12,13 profilakse. Izbor vrste anestezije kada god je moguće su regionalne tehnike anestezije -spinalna, epiduralna i kombinovana spinalno-epiduralna.…”

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Ebstejn's anomaly in patients perioperative period during a non-cardiac surgery operation

Mirić¹,

Smiljković²,

Perić³

et al. 2019

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Introduction: Ebstein anomaly, a congenital heart defect characterized by a morphological and functional abnormality of the tricuspid valvula while moving the mouth of the tricuspid valvula towards the apex of the right chamber. Case report: A patient aged 39 years on the Department of Surgery was admitted under the image of an acute abdomen and the need for emergency surgical treatment. Routine preoperative preparation, laboratory treatment, examination of internist and examination of anesthesiologist on the part of the part was carried out. He has a history of occasional breathing problems during respiratory infection, a smoker. Clinical status, other than primary problems, is orderly. Operational treatment passed neatly, on the fourth postoperative day the patient complained of suffocation, lack of air and chest pain, translated into intensive care monitored (spo2 87% f about 110/min TA 90/60), blood gas analysis done and laboratory treatment (fibrinogen, D dimer) due to suspected pulmonary thromboembolia consulted cardiologist, dilation of the right atrium seen by ultrasound. Discussion: Non-cardiac surgeries in patients with pre-existing congenital heart defects are high-risk surgeries with increased mobility and mortality in the perioperative period. In accordance with the accompanying pathoanatomical and pathophysiological changes that define the congenital heart defect, a detailed plan must be made - anesthesiological management for each patient separately. Hemodynamic and respiratory stability with avoidance of hypoxia and paradoxical arrhythmias are the basic postulates in patients with Ebstein's anomaly.

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Anaesthetic management of emergency lower segment caesarean section in a patient with Ebstein's anomaly

Cited by 2 publications

References 3 publications

Successful Pregnancy in a Patient with Ebstein’s Anomaly: A Rare Case Report

Successful Pregnancy in a Patient with Ebstein’s Anomaly: A Rare Case Report

Ebstejn's anomaly in patients perioperative period during a non-cardiac surgery operation

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