International Journal of Obstetric Anesthesia
Volume 16, Issue 2 , Pages 155-159, April 2007

Caesarean section using total intravenous anaesthesia in a patient with Ebstein’s anomaly complicated by supraventricular tachycardia

  • A.J.R. Macfarlane
    • ,
  • S. Moise
    • ,
  • D. Smith

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr Drew Smith, Department of Anaesthesia, Glasgow Royal Infirmary, 84 Castle Street, Glasgow, G4 0SF UK. Tel.: +0141 211 4620.

Department of Anaesthesia, Glasgow Royal Infirmary, Glasgow, UK

Accepted 1 July 2006. published online 31 January 2007.

Summary 

Ebstein’s anomaly is a rare congenital cardiac defect associated with both displacement and incompetence of the tricuspid valve. The condition is commonly complicated by supraventricular tachycardias. We describe the management of a patient with this condition undergoing caesarean section. Propofol and remifentanil total intravenous anaesthesia resulted in haemodynamic stability and delivery of a healthy baby who breathed spontaneously after two minutes.

Keywords: Anaesthesia obstetric, General anaesthesia, TIVA, Heart congenital defects, Arrhythmia, Ebstein’s anomaly

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PII: S0959-289X(06)00165-8

doi:10.1016/j.ijoa.2006.07.009

International Journal of Obstetric Anesthesia
Volume 16, Issue 2 , Pages 155-159, April 2007

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