Anesthetic management of patient with large Atrial Septal defect for caesarean delivery in resource limited setting
Résumé
Abstract Background: Atrial septal defect (ASD) is one of the common cardiac problems in adults most commonly in females. It complicates the management by increasing load on right heart chamber and pulmonary vasculatures. This leads to hypoxemia, hypercarbia, arrhythmias and congestive heart failure. Case presentation: Here we report successful management of a 27-year- old prim gravida woman at 38 weeks of gestation diagnosed with large ASD with the defect of 16.2mm on Echocardiogram undergoes elective caesarean section. The procedure was done with low dose spinal anesthesia. Conclusion: No complications were encountered during perioperative period. Spinal anesthesia is safe for patients with atrial septal defect undergoing caesarean delivery.
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