Peripartum anesthetic management in patients with Ebstein anomaly: a case series.
Carmelina Carmen GurrieriEmily Elizabeth SharpeHeidi M ConnollyCarl H RoseKatherine W ArendtPublished in: Proceedings (Baylor University. Medical Center) (2023)
Ebstein anomaly is a rare congenital cardiac condition associated with displacement and incompetence of the tricuspid valve. Peripartum anesthetic management can be particularly challenging since these patients are at high risk of cardiac failure and tachyarrhythmias. Risk stratification is important since it helps to identify high-risk patients who should deliver at a tertiary care center where a multidisciplinary team (obstetrics, cardiology, anesthesiology, and neonatology) is immediately available. We describe the peripartum anesthetic management of 9 patients with Ebstein anomaly who underwent 12 deliveries at our institution. All patients tolerated neuraxial anesthesia and analgesia well. No maternal or fetal deaths occurred.
Keyphrases
- end stage renal disease
- ejection fraction
- chronic kidney disease
- tertiary care
- prognostic factors
- mitral valve
- aortic valve
- heart failure
- left ventricular
- palliative care
- peritoneal dialysis
- cardiac surgery
- pregnant women
- coronary artery disease
- acute kidney injury
- physical activity
- quality improvement
- weight loss
- preterm birth