International Journal of Obstetric Anesthesia
Volume 17, Issue 1 , Pages 57-60, January 2008

Anesthetic management of labor in a patient with congenitally corrected transposition of the great arteries

  • M. Cordone

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore
    • ,
  • A. Wolfson

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore
    • Corresponding Author InformationCorrespondence to: Alexander Wolfson, 600 N. Wolfe Street, Carnegie 280C, Baltimore, MD 21287.
    • ,
  • N. Wolfson

      Affiliations

    • Department of Radiology, New York Presbyterian Hospital-Weill Cornell Medical Center, New York
    • ,
  • D. Penning

      Affiliations

    • Department of Anesthesiology, University of Miami, USA

Accepted 10 April 2007. published online 15 August 2007.

Michael Cordone MD, MPH, Anesthesiology Resident, Alexander Wolfson MD, Clinical Instructor, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD; Natasha Wolfson MD, Assistant Radiologist, Department of Radiology, New York Presbyterian Hospital,-Weill Cornell Medical Center, New York, NY; Donald Penning MD, Professor and Director of Obstetric Anesthesiology, Department of Anesthesiology, University of Miami, Miami, FL, USA.

Summary 

Laboring patients with congenitally corrected transposition of the great arteries present an interesting challenge to anesthesiologists because of the physiological changes that take place during pregnancy and the stress induced by labor. This paper describes the detailed management of a symptomatic parturient with congenitally corrected transposition of the great arteries. The patient was managed with epidural analgesia instituted early in labor with a continuous low-concentration infusion of local anesthetic and opioid but without an initial bolus. She underwent uneventful forceps-assisted vaginal delivery.

Keywords: Congenitally corrected transposition of the great arteries, Labor

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 This work was presented as a poster presentation for the 39th Annual SOAP meeting, May 16-19th 2007, Fairmont Banff Springs, Canada.

PII: S0959-289X(07)00095-7

doi:10.1016/j.ijoa.2007.04.002

International Journal of Obstetric Anesthesia
Volume 17, Issue 1 , Pages 57-60, January 2008

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