Why the study?
Physiologic adaptations in pregnancy pose challenges in congenitally corrected transposition of the great arteries, requiring multidisciplinary care for safe management of pregnancy and delivery.
Highlights the multidisciplinary anesthetic management required for cesarean delivery in patients with congenitally corrected transposition of the great arteries complicated by pulmonary hypertension and heart failure.
Multidisciplinary anesthetic planning may aid cesarean delivery in CCTGA; leaves open need for prospective data to guide care.
Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease often associated with other cardiac defects. The adaptations and physiologic changes in pregnancy can present maternal challenges and complications; multidisciplinary care allows for the safest management of pregnancy and delivery in these patients. We present a case of the anesthetic management of cesarean delivery in a woman with CCTGA with her pregnancy complicated by recurrent volume overload, pulmonary hypertension, and dysrhythmias.
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Naoum et al. (2023) studied this question.
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