A rare case of Ebstein’s anomaly scheduled for elective caesarean section

Ebstein’s anomaly is a rare congenital heart defect comprising less than 1% of patients with congen-ital heart disease. Among the congenital heart lesions, Ebstein’s anomaly is one of the most diverse in presentation, severity and management. It involves the septal cusp of the tricuspid valve wherein, due to anomalous attachment of the leaflets of the valve the cusp is elongated causing downward displacement of the valve into right ventricle. This results in tricuspid regurgitation. The abnormally situated valve produces atrialization of the right ventricle. It may be associated with atrial septal defect and supraventricular ar-rhythmias. Here, we report a case of second gravida patient with Ebstein’s anomaly. She was diagnosed with it a year back and was not on any treatment. Her echocardiogram showed grossly dilated right atrium grade III tricuspid regurgitation with mild pulmonary artery hypertension. Patient was taken up for elective cae-sarean section under spinal anaesthesia. Key-words: caesarean section, spinal anaesthesia, bupivacaine