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Home > Vol 39, No 6 (2021) > Prathep

General Anesthesia for Cesarean Section in a Pregnant Woman with Truncus Arteriosus Intraoperatively Monitored by Transesophageal Echocardiography

Sumidtra Prathep, Suttasinee Petsakul, Natticha Chainarong, Sirichai Cheewatanakornkul, Jutarat Tanasansuttiporn

Abstract

Truncus arteriosus (TA) is defined as a congenital cardiovascular malformation in which one great artery arises from the base of the heart and gives origin to the pulmonary and systemic arteries. TA patients who become pregnant have high morbidity and mortality rates because physiologic changes during pregnancy can worsen the cardiopulmonary balance causing cardiopulmonary decompensation. In this case report we report a successful general anesthesia in a truncus arteriosus patient with severe pulmonary hypertension (Eisenmenger syndrome) who underwent a full-term pregnancy delivery monitored by intraoperative transesophageal echocardiography, a new technique to assist physicians in dealing with patients with hemodynamic instability during both cardiac and noncardiac surgery.

 Keywords

cesarean section; general anesthesia; pregnancy; transesophageal echocardiogram; truncus Arteriosus

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References

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DOI: http://dx.doi.org/10.31584/jhsmr.2021799

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2020
Acceptance rate: 52%
2021
Acceptance rate: 27.8%
2022 (March)
Acceptance rate: 15.6%
2023 (June)
Acceptance rate: 23.6%


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About The Authors

Sumidtra Prathep
Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,
Thailand

Suttasinee Petsakul
Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,
Thailand

Natticha Chainarong
Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,
Thailand

Sirichai Cheewatanakornkul
Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110,
Thailand

Jutarat Tanasansuttiporn
Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110
Thailand

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