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Case Report

Case of Cyanotic Heart Disease with Partial Anomalous Pulmonary Vein Connection for Cesarean Section

Nagasobbanaa Manukaran, Ravi Madhusudhana

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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Indian Journal of Anesthesia and Analgesia 11(1):p 41-47, January - March 2024. | DOI: 10.21088/ijaa.2349.8471.11124.8

How Cite This Article:

Nagasobbanaa M, Balaji J, Madhusudhana R. Case of cyanotic heart disease with partial anomalous pulmonary vein connection for cesarean section. Indian J Anesth Analg. 2024;11(1):41-7.

Timeline

Received : November 21, 2023         Accepted : January 21, 2024          Published : March 07, 2024

Abstract

Introduction: Partial anomalous pulmonary venous connection is the type of cyanotic disease defined as one or more, but not all pulmonary veins drain directly either into a systemic vein or into the right atrium. Subarachnoid block in the form of spinal anesthesia is given as it minimizes SVR changes, and provides sufficient anesthesia of perineum/pelvic organs, sensory and motor blockade of lower limbs, allowing early ambulation, voiding, and hospital discharge. Case Report: A 29-year-old female, G2P1L1, BMI of 25 with 32 weeks 5 days gestational age with 8 months of amenorrhea posted for emergency lower segment cesarean section (LSCS). Preanaesthetic evaluation was done and the patient underwent LSCS under spinal anesthesia without any intraoperative difficulty or complications. On POD-9, the patient developed breathlessness with a fall in oxygen saturation and required Intensive care unit (ICU) support. A 64-slice CT pulmonary angiogram was done and showed changes suggestive of Partial Anomalous Pulmonary Vein Connection (PAPVC). The patient was worked up, diagnosed with PAPVC, and symptomatic treatment initiated. Once symptomatically better, prophylactic management is advised and the patient is discharged. Conclusion: Patients with PAPVC with stable hemodynamics can be managed successfully with spinal anesthesia as the mode of anesthesia for surgical procedures.

References

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Data Sharing Statement

There are no additional data available.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

Information not provided.

Conflicts of Interest

The authors report no conflicts of interest in this work.

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Cite this article

Nagasobbanaa M, Balaji J, Madhusudhana R. Case of cyanotic heart disease with partial anomalous pulmonary vein connection for cesarean section. Indian J Anesth Analg. 2024;11(1):41-7.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

 This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
November 21, 2023 January 21, 2024 March 07, 2024
DOI: 10.21088/ijaa.2349.8471.11124.8

Keywords

Partial anomalous pulmonary venous connectionSpinal anesthesiaPregnancyLSCS

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Timeline

Received November 21, 2023
Accepted January 21, 2024
Published March 07, 2024

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

 This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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