The application of epidural anesthesıa in pregnant woman with uncorrected tetralogy of Fallot: a case report

Fallot tetralojisi en sık görülen siyanotik doğumsal kalp hastalığıdır. Bu hastalarda doğum sonrası meydana gelen ani hemo- dinamik değişiklikler ciddi, yaşamı tehdit eden multiorgan komplikasyonlarına yol açar. Bu yüzden anestezi seçimi zordur. Otuz üç haftalık düzeltilmemiş Fallot tetralojili gebe sezeryan operasyonuna alındı. Sorunsuz bir şekilde epidural anestezi uygulandı. Hastanın vital bulguları ve genel durumu stabil seyretti ve ameliyat sonrası yoğun bakımda dört gün takipten sonra kadın doğum servisine devredildi. Fallot tetralojili gebe hastada epidural anestezi uygulamasında bölünmüş ve artan dozlarda levobupivakain uygulamasının güvenli olduğu kanısındayız. Bununla birlikte, bizim bu verilerimiz klinik uygulama miktarının artırılması ile daha da güçleneceğini düşünüyoruz.

Düzeltilmemiş fallot tetralojili gebede epidural anestezi uygulaması: Bir olgu

Tetralogy of Fallot is the most common cyanotic congenital cardiac disease. The hemodynamic changes which are present immediately after abdominal delivery may be resulted with serious, life-threatening multiorgan complications. Therefore the choice of anesthesia is very difficult. We describe the case of pregnant, 33 weeks gestation, with uncorrected tetralogy of Fallot who underwent caesarian section. The epidural anesthesia was performed uneventfully. After having stabile vital signs and a good general condition patient was followed up at the intensive care unit for 4 days. She was transferred to the obstetric service. We think that application of epidural anaesthesia with fragmented and increasing doses of slow levobupivacain in pregnant women with tetralogy of Fallot is safe. Nonetheless, this data of ours will grow stronger with the increase of the clinical application amount.

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