Caesarean section using total intravenous anaesthesia in a patient with Ebstein's anomaly complicated by supraventricular tachycardia.
Ebstein's anomaly is a rare congenital cardiac defect associated with both displacement and incompetence of the tricuspid valve. The condition is commonly complicated by supraventricular tachycardias. We describe the management of a patient with this condition undergoing caesarean section. Propofol and remifentanil total intravenous anaesthesia resulted in haemodynamic stability and delivery of a healthy baby who breathed spontaneously after two minutes.
Macfarlane
A J R
AJ
Department of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UK.
Moise
S
S
Smith
D
D
D000328:Adult; D000771:Anesthesia, Intravenous / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D001794:Blood Pressure; D002585:Cesarean Section / Q000379:methods*; D004437:Ebstein Anomaly / Q000150:complications*; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006339:Heart Rate; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D008991:Monitoring, Physiologic / Q000379:methods; D010880:Piperidines / Q000008:administration & dosage; D011247:Pregnancy; D015742:Propofol / Q000008:administration & dosage; D035583:Rare Diseases; D000077208:Remifentanil; D013617:Tachycardia, Supraventricular / Q000150:complications*
D018686:Anesthetics, Intravenous; D010880:Piperidines; D000077208:Remifentanil; D015742:Propofol