Abstract
Fallot tetralojisi (TOF) gebelikte en sık karşılaşılan siyanotik konjenital kalp hastalığıdır. TOF’un cerrahi onarımından sonraki gebelik olgularının çoğu kardiyovasküler ve obstetrik kaygılara odaklanmışken, nispeten az sayıda yazar spesifik intraoperatif ve postoperatif anestezik yönetim stratejilerine odaklanmıştır. Bu hastalarda anestezi seçimi çok zordur ve güncel öneriler sadece bildirilen klinik deneyimlere ve patofizyolojik kavramlara dayanmaktadır. Bu olgu sunumunda düzeltilmiş TOF cerrahisi geçiren 37 haftalık gebede, sezaryen cerrahisi için uygulanan epidural anestezi deneyimimizi paylaşmayı amaçladık.
References
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- 2. Ahmed I. Tetrology of Fallot and pregnancy. RMJ. 2004;29 Review article.
- 3. Bhatia U, Chadha IA, et al. Anaesthetic management of known case of tetrology of fallot undergoing brain abscess drainage-A case report. Indian J Anaesth. 2001;45:370-371.
- 4. Yeomans ER, Gilpstrap LC. Physiologic changes in pregnancy and their impact on critical care. Crit Care Med 2005; 33: 256-258.
- 5. Lin CH, Lee CN. Atrial fibrillation with rapid ventricular response in pregnancy. Taiwan J Obstet Gynecol 2008; 47:327-323.
- 6. Pedersen LM, Pedersen Ta et al. Outcomes of pregnancy in women with tetralogy of Fallot. Cardiol Young 2008; 18: 423-429.
- 7. Veldtman GR, Connolly HM, et al. Outcomes of pregnancy in women with tetralogy of Fallot. J Am Coll Cardiol 2004; 44: 174-180.
- 8. Warnes CA, Williams RG, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines: developed in collaboration with the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation 2008;118: e714-833.
- 9. Gomar C, Errando CL. Neuroaxial anaesthesia in obstetrical patients with cardiac disease. Curr Opin Anaesthesiol 2005;18:507-512.
- 10. Siu SC, Colman JM. Heart disease and pregnancy. Heart 2001;85:710.
- 11. Hamlyn EL, Douglass CA, et al. Low-dose sequential combined spinal-epidural: an anaesthetic technique for caesarean section in patients with significant cardiac disease. Int J Obstet Anesth 2005;14:355- 361.
Our experience of epidural anesthesia for cesarean section in pregnant women with corrected tetralogy of fallot: A case report
Abstract
Tetralogy of Fallot (TOF) is the most commonly encountered cyanotic congenital cardiac disease in pregnancy. While most pregnancy cases after surgical repair of TOF have focused on cardiovascular and obstetric concerns, relatively few authors have focused on specific intraoperative and postoperative anesthetic management strategies. Determine the type of anesthesia in these patients is very difficult and current recommendations are based only on reported clinical experiences and pathophysiological concepts. In this case report, we aimed to share our epidural anesthesia experience for caesarean surgery in 37 weeks pregnant who underwent corrected TOF surgery.
References
- 1. Lake CL, editor. 3rd ed. Stamford, CT: Appleton and Lange; 1998. Paediatric cardiac anaesthesia .Stamford, CT: Appleton and Lange, 1998; pp. 305-306.
- 2. Ahmed I. Tetrology of Fallot and pregnancy. RMJ. 2004;29 Review article.
- 3. Bhatia U, Chadha IA, et al. Anaesthetic management of known case of tetrology of fallot undergoing brain abscess drainage-A case report. Indian J Anaesth. 2001;45:370-371.
- 4. Yeomans ER, Gilpstrap LC. Physiologic changes in pregnancy and their impact on critical care. Crit Care Med 2005; 33: 256-258.
- 5. Lin CH, Lee CN. Atrial fibrillation with rapid ventricular response in pregnancy. Taiwan J Obstet Gynecol 2008; 47:327-323.
- 6. Pedersen LM, Pedersen Ta et al. Outcomes of pregnancy in women with tetralogy of Fallot. Cardiol Young 2008; 18: 423-429.
- 7. Veldtman GR, Connolly HM, et al. Outcomes of pregnancy in women with tetralogy of Fallot. J Am Coll Cardiol 2004; 44: 174-180.
- 8. Warnes CA, Williams RG, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines: developed in collaboration with the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation 2008;118: e714-833.
- 9. Gomar C, Errando CL. Neuroaxial anaesthesia in obstetrical patients with cardiac disease. Curr Opin Anaesthesiol 2005;18:507-512.
- 10. Siu SC, Colman JM. Heart disease and pregnancy. Heart 2001;85:710.
- 11. Hamlyn EL, Douglass CA, et al. Low-dose sequential combined spinal-epidural: an anaesthetic technique for caesarean section in patients with significant cardiac disease. Int J Obstet Anesth 2005;14:355- 361.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | May 29, 2021 |
| Acceptance Date | May 6, 2021 |
| Published in Issue | Year 2021 Volume: 5 Issue: 2 |
