Epidural Anesthesia for Cesarean Section in a Patient with Ebstein's Anomaly
Keywords:
Pregnancy, Ebstein anomaly, anesthesia, cesarean section
Abstract
Ebstein’s anomaly is a rare congenital defect consisting of the adhesion of both the septal and posterior valves of the tricuspid valve to the myocardium which produces an apical displacement of the tricuspid annulus and an atrialization of the right ventricle.
There are few cases described in the literature of pregnancy and Ebstein’s anomaly. In this case report, the management of a pregnant patient with this cardiac disease with epidural anesthesia is described following the current basic principles of the anesthetic management of pregnant women with cardiac disease.
References
1.Thambo JB, Jiménez M, Espil G, et al. Anomalie d'Ebstein. Archives des maladies du coeur et des vaisseaux. 2002; 95:1104-11.
2. Halpern S, Gidwaney A, Gates B. Anaesthesia for caesarean section in a pre-eclamptic patient with Ebstein's anomaly. Can Anaesth Soc J. 1985;32:244- 7.
3. Anderson KR, Lie JT. Pathologic anatomy of Ebstein's anomaly of the heart revisited. Am J Cardiol. 1978;41; 739-45.
4. Rathna, Tejesh CA, Manjunath AC, et al. Anaestheisa for incidental surgery in a patient with Ebstein's anomaly. SAARC J Anaesth. 2008;1:85-7.
5. Stoelting RK, Dierdorf SF. Anesthesia and coexisting disease. 4a ed. Philadelphia: Churchill Livingstone; 2002.
6. Matthew ST, Federico GF, Singh BK. Ebstein's anomaly presenting as Wolff-Parkinson white syndrome in a postpartum patient. Cardiol Rev. 2003;11: 208-10.
7. Gatzoulis MA, Swan L, Therrien J, et al. Adult congenital heart disease: a practical guide. Malden: BMJ Books; 2005.
8. Íñigo Riesgo CA, Torres Gómez LG, Hernández Higareda S, et al. Anomalía de Ebstein y embarazo. Ginecol Obstet Mex. 2008;76:461-7.
9. Ebstein W. Über einen sehr seltenen Fall von Insufficienz der Valvula tricuspidalis, bedingt durch eine angeborene hochgradige Missbildung derselben. Archiv für Anatomie, Physiologie und Wissenschaftliche Medicin. 1866;33:238-54.
10. Sugrue D, Blake S, MacDonald D. Pregnancy complicated by maternal heart disease at the National Maternity Hospital, Dublin, Ireland, 1969 to 1978. Am J Obstet Gynecol. 1981;139:1-6.
11. Linter SP, Clarke K. Caesarean section under extradural analgesia in a patient with Ebstein's anomaly. Br J Anaesth. 1984;56:203-5.
12. Macfarlane AJ, Moise S, Smith D. Caesarean section using total intravenous anaesthesia in a patient with Ebstein's anomaly complicated by supraventricular tachycardia. Int J Obstet Anesth. 2007;16:155-9.
13. Jonsson M, Hanson U, Lidell C, et al. ST depression at caesarean section and the relation to oxytocin dose: a randomized controlled trial. BJOG. 2010;117:76- 83.
14. Montes FR, Riaño D. Manejo anestésico de paciente obstétrica con anomalía de Ebstein. Rev Col Anest. 2004;32:285-7.
15. Cifuentes Borrero R. Cardiopatias en el embarazo. En: Cifuentes Borrero R. Ginecología y obstetricia basadas en las evidencias. Bogotá: Distribuna; 2002. pp. 257-65.
16. Chopra S, Suri V, Aggarwal N, et al. Ebstein's anomaly in pregnancy: maternal and neonatal outcomes. J Obstet Gynaecol Res. 2010;36:278-83.
17. Grover VK, Mahajan RP, Sharma S, et al. Anaestheisa for incidental surgery in a patient with Ebstein's anomaly. Indian J Anaesth. 1987;35:223-8.
18. Elsten JL, Kim YD, Hanowell ST, et al. Prolonged induction with exaggerated chamber enlargement in Ebstein's anomaly. Anesth Analg. 1981;60:909-10.
19. Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007;116:1736-54.
20. Warnes CA, Williams RG, Bashore TM, et al. ACC/ AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation. 2008;118:e714-833.
21. Yetman AT, Freedom RM, McCrindle BW. Outcome in cyanotic neonates with Ebstein's anomaly. Am J Cardiol. 1998;81:749-54.
22. Celermajer DS, Bull C, Till JA, et al. Ebstein's anomaly: presentation and outcome from fetus to adult. J Am Coll Cardiol. 1994;23:170-6.
2. Halpern S, Gidwaney A, Gates B. Anaesthesia for caesarean section in a pre-eclamptic patient with Ebstein's anomaly. Can Anaesth Soc J. 1985;32:244- 7.
3. Anderson KR, Lie JT. Pathologic anatomy of Ebstein's anomaly of the heart revisited. Am J Cardiol. 1978;41; 739-45.
4. Rathna, Tejesh CA, Manjunath AC, et al. Anaestheisa for incidental surgery in a patient with Ebstein's anomaly. SAARC J Anaesth. 2008;1:85-7.
5. Stoelting RK, Dierdorf SF. Anesthesia and coexisting disease. 4a ed. Philadelphia: Churchill Livingstone; 2002.
6. Matthew ST, Federico GF, Singh BK. Ebstein's anomaly presenting as Wolff-Parkinson white syndrome in a postpartum patient. Cardiol Rev. 2003;11: 208-10.
7. Gatzoulis MA, Swan L, Therrien J, et al. Adult congenital heart disease: a practical guide. Malden: BMJ Books; 2005.
8. Íñigo Riesgo CA, Torres Gómez LG, Hernández Higareda S, et al. Anomalía de Ebstein y embarazo. Ginecol Obstet Mex. 2008;76:461-7.
9. Ebstein W. Über einen sehr seltenen Fall von Insufficienz der Valvula tricuspidalis, bedingt durch eine angeborene hochgradige Missbildung derselben. Archiv für Anatomie, Physiologie und Wissenschaftliche Medicin. 1866;33:238-54.
10. Sugrue D, Blake S, MacDonald D. Pregnancy complicated by maternal heart disease at the National Maternity Hospital, Dublin, Ireland, 1969 to 1978. Am J Obstet Gynecol. 1981;139:1-6.
11. Linter SP, Clarke K. Caesarean section under extradural analgesia in a patient with Ebstein's anomaly. Br J Anaesth. 1984;56:203-5.
12. Macfarlane AJ, Moise S, Smith D. Caesarean section using total intravenous anaesthesia in a patient with Ebstein's anomaly complicated by supraventricular tachycardia. Int J Obstet Anesth. 2007;16:155-9.
13. Jonsson M, Hanson U, Lidell C, et al. ST depression at caesarean section and the relation to oxytocin dose: a randomized controlled trial. BJOG. 2010;117:76- 83.
14. Montes FR, Riaño D. Manejo anestésico de paciente obstétrica con anomalía de Ebstein. Rev Col Anest. 2004;32:285-7.
15. Cifuentes Borrero R. Cardiopatias en el embarazo. En: Cifuentes Borrero R. Ginecología y obstetricia basadas en las evidencias. Bogotá: Distribuna; 2002. pp. 257-65.
16. Chopra S, Suri V, Aggarwal N, et al. Ebstein's anomaly in pregnancy: maternal and neonatal outcomes. J Obstet Gynaecol Res. 2010;36:278-83.
17. Grover VK, Mahajan RP, Sharma S, et al. Anaestheisa for incidental surgery in a patient with Ebstein's anomaly. Indian J Anaesth. 1987;35:223-8.
18. Elsten JL, Kim YD, Hanowell ST, et al. Prolonged induction with exaggerated chamber enlargement in Ebstein's anomaly. Anesth Analg. 1981;60:909-10.
19. Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007;116:1736-54.
20. Warnes CA, Williams RG, Bashore TM, et al. ACC/ AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation. 2008;118:e714-833.
21. Yetman AT, Freedom RM, McCrindle BW. Outcome in cyanotic neonates with Ebstein's anomaly. Am J Cardiol. 1998;81:749-54.
22. Celermajer DS, Bull C, Till JA, et al. Ebstein's anomaly: presentation and outcome from fetus to adult. J Am Coll Cardiol. 1994;23:170-6.
How to Cite
1.
Suárez D. OH, Vargas Acero LR, Valderrama Hernández JA. Epidural Anesthesia for Cesarean Section in a Patient with Ebstein’s Anomaly. Colomb. J. Anesthesiol. [Internet]. 2011 Apr. 1 [cited 2024 Apr. 20];39(2):240-9. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/755
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Published
2011-04-01
How to Cite
1.
Suárez D. OH, Vargas Acero LR, Valderrama Hernández JA. Epidural Anesthesia for Cesarean Section in a Patient with Ebstein’s Anomaly. Colomb. J. Anesthesiol. [Internet]. 2011 Apr. 1 [cited 2024 Apr. 20];39(2):240-9. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/755
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Section
Case Report / Case Series
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