Cesarean Section With Spinal Anesthesia in a Patient With Double Outlet Right Ventricle

A 26-YEAR-OLD gravida 2 at 38 weeks gestation was scheduled to undergo emergency lower segment cesarean section (LSCS). She had a known case of double outlet right ventricle (DORV). She had undergone a bidirectional Glenn (BDG) shunt at the age of 3 years. Her first pregnancy resulted in a preterm vaginal delivery, with the child dying on the 5th postpartum day. She was taking oral metoprolol, 50 mg, and torsemide, 5 mg, daily. In the operating room, her hemodynamics were as follows: initial heart rate 106 beats per minute, blood pressure 130/80 mmHg, sinus rhythm on electrocardiogram, and oxygen saturation 88% in room air.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research