Anaesthetic Management of Caesarean Section in A Patient with Ebstein's Anomaly

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CASE REPORT

Year : 2008 \| Volume : 52 \| Issue : 3 \| Page : 321-323

Anaesthetic Management of Caesarean Section in A Patient with Ebstein's Anomaly Suman Chatterjee¹, I Sengupta², R Mandal³, R Sarkar⁴, PS Chakraborty⁵ ¹ Assistant Prof, Department of Obstetrics & Gynaecology, Medical College & Hospital, Kolkata, India ² Medical Officer, Department of Obstetrics & Gynaecology, Medical College & Hospital, Kolkata, India ³ Clinical Tutor, Department of Obstetrics & Gynaecology, Medical College & Hospital, Kolkata, India ⁴ Prof. & HOD., Department of Anaesthesiology, Medical College & Hospital, Kolkata, India ⁵ Prof. & H.O.D., Department of Obstetrics & Gynaecology, Medical College & Hospital, Kolkata, India Correspondence Address: Suman Chatterjee BC -103, Salt Lake, Kolkata 700064 India

The rare congenital heart defect of Ebstein's anomaly is characterized by downward displacement and elongation of the tricuspid valve with poorly contractile right ventricle, an enlarged right atrium along with tricuspid regurgitation. Supra ventricular and ventricular arrythmias are common. Here we describe the successful management of a pregnant patient undergoing an urgent LSCS under epidural anaesthesia. There was inadvertent dural puncture while performing the block, which was treated with sterile epidural boluses of saline. Perioperative management was uncomplicated and both the mother and newborn were discharged without any untoward problem.



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