Case report of a parturient with cyanotic congenital heart disease palliated with a Glenn procedure

Wendling, Adam; Seller, Aaron; Peterson, E. Wesley F.

doi:10.1016/j.jclinane.2012.03.008

Cited by 3 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Univentricular heart or single ventricular heart is a rare congenital cardiac abnormality and to date, there are very few reported cases of successful pregnancies with this condition. [5][6][7][8][9] We report a case of a pregnancy in a 28-year-old nulliparous with complex CHD and a single ventricle of left ventricle (LV) morphology.…”

Section: Introductionmentioning

confidence: 99%

A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease

Liu

Tan

et al. 2016

Obstet Med

View full text Add to dashboard Cite

Medical advances have increased survival of patients with congenital heart disease. However, cardiac disease in pregnancy carries significant maternal and fetal risks, posing enormous challenges to obstetricians. Cyanotic congenital heart disease is associated with maternal complications such as arrhythmias, thromboembolic events and death. Fetal complications include small for gestational age, miscarriage and prematurity. Cyanotic congenital heart disease patients who continue their pregnancies require holistic multidisciplinary team care with early and coordinated planning for delivery. Management of such patients include early counseling regarding pregnancy-associated risks, close monitoring of their cardiac function and regular scanning for fetal assessment. Choice of anesthesia for these patients requires meticulous planning to achieve a favorable balance between systemic and pulmonary vascular resistance, ensuring minimal change in right-to-left shunting. We report a case of a successfully managed pregnancy in a patient with complex congenital heart disease and a single ventricle of left ventricle morphology.

show abstract

Section: Introductionmentioning

confidence: 99%

A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease

Liu

Tan

et al. 2016

Obstet Med

View full text Add to dashboard Cite

show abstract

“…Cases of CS in patients with complex congenital heart disease surgically corrected in childhood are being reported in the literature with increasing frequency [678], but none were performed as an urgent procedure requiring rapid-onset anesthesia with poor hemodynamic effects. The superior vena cava of a patient with Glenn circulation connects to the pulmonary artery with passive blood flow to the lungs, and the single ventricle must supply cardiac output for systemic and pulmonary circulation.…”

Section: Discussionmentioning

confidence: 99%

Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle: a case report

Catarci

Sbaraglia

Zanfini

et al. 2016

Korean J Anesthesiol

View full text Add to dashboard Cite

The number of women with major congenital heart defects reaching reproductive age is likely increasing. We herein describe the anesthetic management of a 33-year-old woman at 37 gestational weeks with a history of Glenn surgery who was undergoing an urgent cesarean section due to pathological cardiotocography. Combined spinal-epidural anesthesia was the most suitable technique for urgent cesarean section in our patient with a single ventricle and phasic flow in the pulmonary artery because it provided rapid-onset anesthesia with negligible hemodynamic effects.

show abstract

A Rare Case of Successive Pregnancies in a Woman with Complex Cyanotic Congenital Heart Disease after Glenn Palliation

Mohamed¹,

Mohsin²,

Atiyah³

et al. 2017

WJCD

View full text Add to dashboard Cite

The bidirectional Glenn procedure is an integral step in the optimal palliation for single ventricular physiology in many forms of complex congenital heart disease. An increasing number of women who have undergone this connection in childhood are now reaching childbearing years. Low pulmonary blood flow and volume over load on the single ventricle pose several problems during pregnancy. We are reporting a 33-year-old lady with congenital tricuspid atresia and mild pulmonary stenosis who had late Bidirectional Glenn procedure with pulmonary forward flow and later underwent six successful pregnancies, with delivery of six low birth weight babies with no reported complications.

show abstract

Case report of a parturient with cyanotic congenital heart disease palliated with a Glenn procedure

Cited by 3 publications

References 14 publications

A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease

A case of successfully managed pregnancy in a patient with complex cyanotic congenital heart disease

Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle: a case report

A Rare Case of Successive Pregnancies in a Woman with Complex Cyanotic Congenital Heart Disease after Glenn Palliation

Contact Info

Product

Resources

About