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. 2012 Mar;56(2):186-8.
doi: 10.4103/0019-5049.96336.

Labour analgesia and anaesthetic management of a primigravida with uncorrected Pentology of Fallot

K Sandhya  1 , Shivakumar Shivanna, Ca Tejesh, N Rathna
Affiliations

Labour analgesia and anaesthetic management of a primigravida with uncorrected Pentology of Fallot

K Sandhya et al. Indian J Anaesth. 2012 Mar.

Abstract

Tetraology of Fallot is the most common congenital heart disease causing intracardiac right-left shunts. It is characterized by presence of ventricular septal defect, aortic overriding, pulmonary artery outflow obstruction and right ventricular hypertrophy. When these features are associated with atrial septal defect, it is often referred to as Pentology of Fallot (POF). If the lesions remain uncorrected, they can cause significant morbidity and mortality to the patient. Pregnancy and labour in such a patient present with significant haemodynamic changes, which can be challenging to the anaesthesiologist. Our patient with POF was managed with labour analgesia and subsequently epidural anaesthesia for drainage of vulval haematoma with successful outcome.

Keywords: Congenital heart diseases; labour analgesia; pentology of fallot.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Echocardiography image of the patient with Pentology of Fallot showing atrial and ventricular septal defect
See this image and copyright information in PMC

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References

    1. Hofman JI. Incidence of congenital heart disease: I.Postnatal incidence. Pediatr Cardiol. 1995;16:103–13. - PubMed
    1. Anderson RH, Allwork SP, Ho SY, Lenox CC, Zuberbuhler JR. Surgical anatomy of tetralogy of Fallot. J Thorac Cardiovasc Surg. 1981;81:887–96. - PubMed
    1. Payne RM, Johnson MC, Grant JW, Strauss AW. Towards a molecular understanding of congenital heart disease. Circulation. 1995;91:494–504. - PubMed
    1. Pozzi M, Trivedi DB, Kitchiner D, Arnold RA. Tetralogy of Fallot: What operation, at which age. Eur J Cardiothorac Surg. 2000;17:631–6. - PubMed
    1. Presbitero JB, Somerville J, Stone S, Aruta E, Spiegelhalter D, Rabajoli F. Pregnancy in cyanotic congenital heart disease: Outcome of mother and fetus. Circulation. 1994;89:2673–6. - PubMed