Does epidural analgesia provide safe labor management in a pregnant patient with Ebstein's anomaly?
Epidural labor analgesia was safely and successfully used in a pregnant patient with Ebstein's anomaly.
The rare congenital heart defect of Ebstein's anomaly is characterized by downward displacement and elongation of the tricuspid valve with poorly contractile right ventricle, an enlarged right atrium along with tricuspid regurgitation. Supra ventricular and ventricular arrythmias are common. Here we describe the successful management of a pregnant patient with Ebstein's anomaly undergoing labour with epidural analgesia. Both the mother and newborn were discharged without any untoward problem.
Deosthali et al. (Tue,) studied this question.