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Segmental epidural anesthesia for cesarean section in a parturient with uncorrected Taussig-Bing anomaly with transposition of the great arteries physiology.

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  • معلومة اضافية
    • المصدر:
      Publisher: Medknow Publications Country of Publication: India NLM ID: 101578762 Publication Model: Print Cited Medium: Print ISSN: 0259-1162 (Print) Linking ISSN: 22297685 NLM ISO Abbreviation: Anesth Essays Res Subsets: PubMed not MEDLINE
    • بيانات النشر:
      Original Publication: [Mumbai] : Medknow Publications
    • نبذة مختصرة :
      Here, we report a rare case of a 23-year-old term parturient with Eisenmenger syndrome due to Taussig-Bing anomaly presenting with gestational hypertension, oligohydramnios, and intrauterine growth retardation posted for elective cesarean section. Preoperatively, echocardiography of the patient was suggestive of double-outlet right ventricle (DORV) with large sub-pulmonic ventricular septal defect (VSD), right ventricular hypertrophy, bidirectional shunt and severe pulmonary artery hypertension. The surgery was successfully performed under a graded segmental epidural anesthesia with 2% lignocaine. Further contrast-enhanced computer tomography scan was done postoperatively and a diagnosis of Taussig-Bing anomaly (DORV with sub-pulmonic VSD) with transposition of the great arteries physiology was made. This is one of the rare cases of anesthetic management for cesarean section in a parturient with uncorrected Taussig-Bing anomaly being reported.
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    • Contributed Indexing:
      Keywords: Caesarean section; Taussig-Bing anomaly; segmental epidural anesthesia
    • الموضوع:
      Date Created: 20151230 Date Completed: 20151229 Latest Revision: 20201001
    • الموضوع:
      20240829
    • الرقم المعرف:
      PMC4683482
    • الرقم المعرف:
      10.4103/0259-1162.157466
    • الرقم المعرف:
      26712984