Key result
Combined spinal epidural anesthesia was used uneventfully for two consecutive caesarean sections in a parturient with congenitally corrected transposition of great arteries and complete heart block.
Case Report (n=1)
Combined spinal epidural anesthesia can be safely and uneventfully used for caesarean sections in parturients with congenitally corrected transposition of great arteries and complete heart block.
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May support combined spinal epidural for caesarean in this rare condition; leaves open need for prospective safety data.
We describe the clinical course of two subsequent caesarean sections in the same parturient with congenitally corrected transposition of great arteries (CCTGA) complicated with complete heart block. CCTGA represents <1% of all forms of congenital heart diseases. In such patients, the hemodynamic effects of pregnancy and surgery may trigger systemic ventricular failure. In these parturients, ventricular dysfunction will also progress rapidly with subsequent pregnancies. The literature review showed no evidence describing the anesthetic management of these high-risk parturients. We used combined spinal epidural anesthesia uneventfully for both the caesarean sections in this patient. This case report will discuss the details of this rare congenital heart disease and the anesthetic management.
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Selvaraj et al. (2016) conducted a case report in Congenitally corrected transposition of great arteries (CCTGA) complicated with complete heart block (n=1). Combined spinal epidural anesthesia was evaluated on Clinical course of caesarean sections. Combined spinal epidural anesthesia was used uneventfully for two consecutive caesarean sections in a parturient with congenitally corrected transposition of great arteries and complete heart block.
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