ANESTHETIC SUPPORT DURING A SMALL CESAREAN SECTION OF A PREGNANT WOMAN WITH PULMONARY ARTERIAL HYPERTENSION OF THE III STAGE AND CHRONIC HEART FAILURE OF THE 2B-3 STAGE, ASSOCIATED WITH CONGENITAL HEART DISEASE: TAUSSIG-BING SYNDROME

Authors

  • R. Sukhonos
  • O. Beglyarov

DOI:

https://doi.org/10.31379/2411.2616.16.2.11

Keywords:

pregnancy, small cesarean section, general anesthesia, pulmonary hypertension, Taussig-Bing syndrome, heart failure, clinical case.

Abstract

A pregnant woman at the age of 39 was administered to the admission department with a diagnosis: Pregnancy one, 21 weeks; pulmonary arterial hypertension of the III degree, associated with congenital heart disease (Taussig-Bing syndrome) - a large defect of the interventricular septum (IVS), transposition of the main vessels; condition after palliative Senning’s surgery (1993); insufficiency of the tricuspid valve of the III stage, insufficiency of the mitral valve of the III stage by WHO classification; secondary erythrocytosis. Anamnesis data, objective examination data, indicators of laboratory and instrumental examinations, as well as the type of surgical intervention allowed to choose the most optimal method of anesthesia - intravenous with tracheal intubation and mechanical ventilation.

References

Taussig HB, Bing RJ. Complete transposition of the aorta and left position of the pulmonary artery. Am Heart J 1949; 37 (4): 551–55

Руководство по кардиологии под редакцией Коваленко В.Н. – К.: МОРИОН, 2008. – 1424

Ramakrishna G, Sprung J, Ravi BS, et al. Impact of pulmonary hypertension on the outcomes of noncardiac surgery: predictors of perioperative morbidity and mortality. J Am Coll Cardiol 2005; 45:1691-1699.

Yee Wei Teo, Donna L. Greenhalgh. Update on anaesthetic approach to pulmonary hypertension. European Journal of Anaesthesiology Volume 27, number 4, April 2010

Zamanian RT, Haddad F, Doyle RL, Weinacker AB. Management strategies for patients with pulmonary hypertension in the intensive care unit. Crit Care Med 2007 ;35 :2037-2050.

Published

2022-02-14

How to Cite

Sukhonos Р., & Beglyarov О. (2022). ANESTHETIC SUPPORT DURING A SMALL CESAREAN SECTION OF A PREGNANT WOMAN WITH PULMONARY ARTERIAL HYPERTENSION OF THE III STAGE AND CHRONIC HEART FAILURE OF THE 2B-3 STAGE, ASSOCIATED WITH CONGENITAL HEART DISEASE: TAUSSIG-BING SYNDROME. Clinical Anesthesiology, Intensive Care and Emergency Medicine, (2), 94–98. https://doi.org/10.31379/2411.2616.16.2.11