Anesthetic Management of Congenital Heart Disease in Parturient with Pulmonary Hypertension.

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Published: Jan 11, 2023
Keywords:
Epidural anesthesia Pulmonary hypertension Atrial Septal Defect Congenital Heart Disease Primigravida

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Stuti Dubey
Junior Resident, Department of Anaesthesiology, Jnmc, Datta Meghe Institute Of Medical Sciences (Deemed University), Sawangi, Wardha.
Sanjot Ninave
Professor, Department of Anaesthesiology, JNMC, Datta Meghe Institute Of Medical Sciences (Deemed University), Sawangi, Wardha
Deeksha Mishra
Junior Resident, Department of Anaesthesiology, Jnmc, Datta Meghe Institute Of Medical Sciences (Deemed University), Sawangi, Wardha.

Abstract

Congenital heart disease in pregnancy is rare but poses anesthetic challenges. Occasionally, pregnant women with pulmonary hypertension and atrial septal defects (ASD) present for anesthesia. These individuals have a higher likelihood of developing perioperative cardiovascular problems, making them high-risk candidates for anesthesia. Anaesthesia necessitates constant pulmonary and systemic hemodynamic stability as well as extensive cardiovascular monitoring. Physiological changes in pregnancy are poorly tolerated in presence of PAH. This is a case of a primigravida with a large Atrial septal defect and moderate pulmonary hypertension with moderate tricuspid regurgitation undergoing a successful elective cesarean section with epidural anesthesia.

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How to Cite
Stuti Dubey, Sanjot Ninave, & Deeksha Mishra. (2023). Anesthetic Management of Congenital Heart Disease in Parturient with Pulmonary Hypertension . Journal of Coastal Life Medicine, 11(1), 797–800. Retrieved from https://www.jclmm.com/index.php/journal/article/view/422
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Vol. 11: Number 1, 2023
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Articles

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