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
DOI:
https://doi.org/10.31379/2411.2616.16.2.11Keywords:
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.
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