Key result
Combined low-dose spinal-epidural anesthesia provides stable hemodynamics in three parturients with uncorrected tetralogy of Fallot.
Why the study?
Physiological cardiovascular changes of pregnancy may worsen right-to-left shunting and haemodynamic instability in women with uncorrected TOF, increasing maternal and fetal risk.
Does a combined low-dose spinal and epidural anaesthetic technique provide adequate surgical anaesthesia and stable haemodynamics in parturients with uncorrected tetralogy of Fallot?
Case Report (n=3)
No
Does a combined low-dose spinal and epidural anaesthetic technique provide adequate surgical anaesthesia and stable haemodynamics in parturients with uncorrected tetralogy of Fallot?
Combined low-dose spinal and epidural anesthesia may be a safe and effective option for parturients with uncorrected tetralogy of Fallot undergoing caesarean section, avoiding the need for general anesthesia.
Combined low-dose spinal-epidural may provide adequate anaesthesia in uncorrected TOF parturients; hypothesis-generating and requires prospective validation before practice change.
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. The physiological cardiovascular changes of pregnancy may worsen right-to-left shunting and haemodynamic instability in women with uncorrected TOF, increasing maternal and fetal risk. We report a case series of three parturients with uncorrected TOF managed at our institution using a combined low-dose spinal and epidural anaesthetic technique. In these cases, the technique was associated with adequate surgical anaesthesia and stable haemodynamics, allowing avoidance of general anaesthesia.
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Yadav et al. (2026) conducted a case report in Uncorrected tetralogy of Fallot in pregnancy (n=3). Combined low-dose spinal and epidural anaesthetic technique was evaluated on Adequate surgical anaesthesia and stable haemodynamics. A combined low-dose spinal and epidural anaesthetic technique provided adequate surgical anaesthesia and stable haemodynamics in three parturients with uncorrected tetralogy of Fallot.
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