Management of labour and delivery in congenitally corrected transposition of great arteries

被引：0
作者：
Dhir, S. [1 ]
Racine, J. [1 ]
Gratton, R. [2 ]
Bergin, L. [3 ]
de Vrijer, B. [2 ]
机构：
[1] Univ Western Ontario, Dept Anesthesiol & Perioperat Med, London, ON N6A 4V2, Canada
[2] Univ Western Ontario, Div Maternal Fetal Med, Dept Obstet & Gynaecol, London, ON N6A 4V2, Canada
[3] Univ Western Ontario, Dept Cardiol, London, ON N6A 4V2, Canada
来源：
ACTA ANAESTHESIOLOGICA SCANDINAVICA | 2015年 / 59卷 / 10期
关键词：
WAVE-FORM ANALYSIS; CARDIAC-OUTPUT; HEART-DISEASE; PREGNANCY; ADULT; WOMEN; OXYTOCIN;
D O I：
10.1111/aas.12583
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A descriptive case report of the labour and delivery management of a 28-year-old woman who presented with congenitally corrected transposition of great arteries, dextrocardia, systemic ventricular dysfunction and junctional tachycardia. Patients with congenitally corrected transposition have a thin-walled morphological right ventricle as the systemic circulatory pump. The stress of increased cardiac output can lead to congestive heart failure, systemic atrioventricular valve regurgitation and arrhythmias. We used minimally invasive continuous cardiac output monitoring, fluid balance optimization and good maternal pain control to prevent decompensation and achieve vaginal delivery with a good maternal and neonatal outcome.
引用
收藏
页码：1397 / 1403
页数：7
相关论文
共 32 条
  • [1] Cardiac output monitoring: an integrative perspective
    Alhashemi, Jamal A.
    Cecconi, Maurizio
    Hofer, Christoph K.
    [J]. CRITICAL CARE, 2011, 15 (02):
  • [2] Outcome of the unoperated adult who presents with congenitally corrected transposition of the great arteries
    Beauchesne, LM
    Warnes, CA
    Connolly, HM
    Arrimash, NM
    Tajik, AJ
    Danielson, GK
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 40 (02) : 285 - 290
  • [3] Management of pregnancy in women with acquired and congenital heart disease
    Bowater, S. E.
    Thorne, S. A.
    [J]. POSTGRADUATE MEDICAL JOURNAL, 2010, 86 (1012) : 100 - 105
  • [4] Cardiovascular Management in Pregnancy Congenital Heart Disease
    Brickner, M. Elizabeth
    [J]. CIRCULATION, 2014, 130 (03) : 273 - 282
  • [5] Recurrence risks in offspring of adults with major heart defects: results from first cohort of British collaborative study
    Burn, J
    Brennan, P
    Little, J
    Holloway, S
    Coffey, R
    Somerville, J
    Dennis, NR
    Allan, L
    Arnold, R
    Deanfield, JE
    Godman, M
    Houston, A
    Keeton, B
    Oakley, C
    Scott, O
    Silove, E
    Wilkinson, J
    Pembrey, M
    Hunter, AS
    [J]. LANCET, 1998, 351 (9099) : 311 - 316
  • [6] Management of cardiac disease in pregnancy
    Burt, Christiana C.
    Durbridge, Jacqueline
    [J]. BJA EDUCATION, 2009, 9 (02) : 44 - 47
  • [7] Anesthesia in adult patients with congenital heart disease
    Cannesson, Maxime
    Collange, Vincent
    Lehot, Jean-Jacques
    [J]. CURRENT OPINION IN ANESTHESIOLOGY, 2009, 22 (01) : 88 - 94
  • [8] Haemodynamic monitoring using arterial waveform analysis
    Chew, Michelle S.
    Aneman, Anders
    [J]. CURRENT OPINION IN CRITICAL CARE, 2013, 19 (03) : 234 - 241
  • [9] Performance of a minimally invasive uncalibrated cardiac output monitoring system (Flotrac™/Vigileo™) in haemodynamically unstable patients
    Compton, F. D.
    Zukunft, B.
    Hoffmann, C.
    Zidek, W.
    Schaefer, J. -H.
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2008, 100 (04) : 451 - 456
  • [10] Pregnancy among women with congenitally corrected transposition of great arteries
    Connolly, HM
    Grogan, M
    Warnes, CA
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 33 (06) : 1692 - 1695
1234