Key result
A combination of low-dose spinal anesthesia and epidural anesthesia successfully maintained stable hemodynamics in a pregnant patient with uncorrected Double Outlet Right Ventricle undergoing cesarean section.
Why the study?
Pregnant patients with uncorrected Double Outlet Right Ventricle undergoing cesarean section present anesthetic management challenges.
Case Report (n=1)
No
A combination of low-dose spinal and epidural anesthesia provided stable hemodynamics for a pregnant patient with uncorrected DORV and severe heart failure undergoing cesarean section.
May support low-dose spinal-epidural anesthesia for cesarean delivery in uncorrected DORV with severe HF; hypothesis-generating and requires prospective validation.
Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.
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Hartono et al. (2022) conducted a case report in Uncorrected Double Outlet Right Ventricle (DORV) undergoing Cesarean Section (n=1). Combination of low-dose spinal anesthesia and epidural anesthesia was evaluated on Hemodynamic stability. A combination of low-dose spinal anesthesia and epidural anesthesia successfully maintained stable hemodynamics in a pregnant patient with uncorrected Double Outlet Right Ventricle undergoing cesarean section.
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