Anaesthetic Management of a Pregnant Patient with Repaired Ventricular Septal Defect: A Case Report
Priyanka Deshmukh *
Department of Anesthesiology, Datta Meghe Medical College, Nagpur, India.
Pratibha Deshmukh
Department of Anesthesiology, Datta Meghe Medical College, Nagpur, India.
Parag Sable
Department of Anesthesiology, Datta Meghe Medical College, Nagpur, India.
Vivek Chakole
Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India.
*Author to whom correspondence should be addressed.
Abstract
Congenital heart disease (CHD) is the most common congenital anomaly. Pregnancy is not always well tolerated in women with congenital heart disease (CHD) such as atrio-ventricular septal defect (AVSD), predominantly due to heart failure deterioration and increasing pulmonary hypertension (PH). Management of those patients are challenging, especially during third trimester and after delivery care. Decision about time of termination, mode of delivery and anaesthetic management are also debatable.
Keywords: CHD, AVSD, PH, labour pains, maternal, fetal