title: Management of labour and delivery in congenitally corrected transposition of great arteries.
abstract: A descriptive case report of the labour and delivery management of a 28-year-old woman who presented with congenitally corrected transposition of great arteries, dextrocardia, systemic ventricular dysfunction and junctional tachycardia. Patients with congenitally corrected transposition have a thin-walled morphological right ventricle as the systemic circulatory pump. The stress of increased cardiac output can lead to congestive heart failure, systemic atrioventricular valve regurgitation and arrhythmias. We used minimally invasive continuous cardiac output monitoring, fluid balance optimization and good maternal pain control to prevent decompensation and achieve vaginal delivery with a good maternal and neonatal outcome.
authors.affiliation: Department of Anesthesiology and Perioperative Medicine, Western University, London, Ontario, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Dhir
authors.affiliation: Department of Anesthesiology and Perioperative Medicine, Western University, London, Ontario, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Racine
authors.affiliation: Department of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine, Western University, London, Ontario, Canada.
authors.forename: R
authors.initials: R
authors.lastname: Gratton
authors.affiliation: Department of Cardiology, Western University, London, Ontario, Canada.
authors.forename: L
authors.initials: L
authors.lastname: Bergin
authors.affiliation: Department of Obstetrics and Gynaecology, Division of Maternal Fetal Medicine, Western University, London, Ontario, Canada.
authors.forename: B
authors.initials: B
authors.lastname: de Vrijer
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D008991:Monitoring, Physiologic; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology*; D014188:Transposition of Great Vessels / Q000503:physiopathology*