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Total intravenous anesthesia can be safely and effectively used to maintain hemodynamic stability during laparoscopic surgery in pregnant patients with asymptomatic cor triatriatum sinister.
A 39-year-old pregnant patient with acute appendicitis was planned for emergency laparoscopic appendectomy in the second trimester of pregnancy. Preoperative two-dimensional transthoracic echocardiography revealed asymptomatic cor triatriatum sinisiter (CTS), dividing left atrium into two chambers. There was no associated cardiac anomaly, wall motion abnormality, or pulmonary hypertension. We report the case of a pregnant patient with CTS who uneventfully underwent laparoscopic appendectomy without invasive cardiac monitoring using total intravenous anesthesia.
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Kim et al. (2020) studied this question.
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