Epidural anaesthesia for labour and caesarean section in a parturient with a single ventricle and transposition of the great arteries.
We describe a case of a 29-year-old parturient with a single ventricle and transposition of the great arteries who had lumbar epidural analgesia/anaesthesia with a local anaesthetic for labour, emergency Caesarean section and postoperative pain. Her outcome and that of her baby was successful. The anaesthetic techniques used in other parturients with similar congenital cardiac anomalies are reviewed.
Department of Anesthesiology, New York Hospital, Cornell Medical Center, NY 10021.
J
J
Fong
M
M
Druzin
A A
AA
Gimbel
J
J
Fisher
D000328:Adult; D015360:Analgesia, Epidural; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications*; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D007751:Labor, Induced; D010149:Postoperative Pain / Q000517:prevention & control; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D014188:Transposition of Great Vessels / Q000150:complications*