Department of Anesthesia Critical Care and Pain Medicine at Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Boston, Massachusetts, United States of America.
Ann Card Anaesth. 2023 Oct-Dec;26(4):446-450. doi: 10.4103/aca.aca_5_23.
Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease often associated with other cardiac defects. The adaptations and physiologic changes in pregnancy can present maternal challenges and complications; multidisciplinary care allows for the safest management of pregnancy and delivery in these patients. We present a case of the anesthetic management of cesarean delivery in a woman with CCTGA with her pregnancy complicated by recurrent volume overload, pulmonary hypertension, and dysrhythmias.
先天性矫正性大动脉转位(CCTGA)是一种罕见的先天性心脏病,常伴有其他心脏缺陷。妊娠期间的适应性和生理变化可能会给产妇带来挑战和并发症;多学科护理可以为这些患者的妊娠和分娩提供最安全的管理。我们报告了一例 CCTGA 合并反复容量超负荷、肺动脉高压和心律失常的孕妇行剖宫产的麻醉管理。