The Anaesthetic Management of a Parturient with an Ebstein Anomaly and Prior Bidirectional Glenn Shunt
Corresponding AuthorShamantha G. Reddy
Department of Anesthesiology, Jack D. Weiler Hospital, Montefiore Medical Center & Albert Einstein College of Medicine, Bronx, New York, USA
A B S T R A C T
Parturients with Ebstein anomaly are an anaesthetic challenge due to the spectrum of disease. Patients palliated with bidirectional Glenn shunts are susceptible to right heart dysfunction due to the physiological changes during parturition. We present a 28-year-old primigravida with Ebstein anomaly surgically managed by a bidirectional Glenn shunt. Echocardiograms showed normal right ventricular function despite reported dyspnea as the pregnancy progressed. Following a comprehensive plan developed during multidisciplinary prenatal meetings, she safely delivered. In this case report, we discuss the preoperative evaluation, management of labour and delivery, and postpartum planning of parturients with palliated Ebstein anomaly.
Article TypeCase Report
Publication historyReceived: Mon 31, May 2021
Accepted: Sat 14, Aug 2021
Published: Thu 19, Aug 2021
Copyright© 2021 Shamantha G. Reddy. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.