Document Details

Document Type : Article In Journal 
Document Title :
Anesthesia for Cesarean section in a patient with a transposition of great arteries--case report
Anesthesia for Cesarean section in a patient with a transposition of great arteries--case report
 
Subject : Anesthesiology 
Document Language : English 
Abstract : Transposition of great arteries (TGA) is one of the mixing lesions between right and left side with a prevelance of 0.21 per 1,000 live births. A 25 years old lady from KSA, Gravida 3, Para 1 + 1, at 34 weeks gestational age was admitted to KAUH with symptoms suggestive of heart failure (NYHA Class IV). She was born with congenitally corrected TGA and coarctation of the aorta for which she under went several operations, the last one of which was tricuspid valve replacement, she being on chronic anti-coagulation. On hospital admission, she was treated with anti-failure measures with stoppage of the oral anti-coagulant intake and shift to I.V. heparin. Cesarean section was performed under subarachnoid block using 2 ml of hyperbaric bupivacaine 0.5% with several precautions to avoid abrupt decrease in the systemic vascular resistance. Baby was delivered with APGAR score 10 after 5 minutes. Postoperatively, the patient was admitted to the ICU for monitoring of the vital signs, and subcutaneous heparin was resumed immediately 
ISSN : 0544-0440 
Journal Name : Middle East Journal of Anesthesiology 
Volume : 19 
Issue Number : 2 
Publishing Year : 1427 AH
2007 AD 
Article Type : Article 
Added Date : Thursday, March 31, 2011 

Researchers

Researcher Name (Arabic)Researcher Name (English)Researcher TypeDr GradeEmail
عادل مخدومMakhdoom, Adel InvestigatorDoctorate 
عدنان المزروعAl-Mazrooa, Adnan ResearcherDoctorate 
وليد المراكبيEl-Marakby, Waleed ResearcherDoctorate 
عبدالعزيز بوكرBoker, AbdulAziz ResearcherDoctorate 

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