Abstract:
Ebstein’s anomaly is an uncommon congenital heart disease which involves the septal cusp of tricuspid valve. The cusp is elongated, so it embraces a part of right ventricle, thus atrializing a portion of the ventricle. It may be associated with atrial septal defect and supraventricular arrhythmias. Here we describe two cases of Ebstein’s anomaly; one posted for elective Caesarean section and the other for total abdominal hysterectomy. The first patient was diagnosed to have this anomaly in her first pregnancy and was taking oral verapamil irregularly for supraventricular arrhythmias. Her 2D echo report showed an enlarged right atrium, severe tricuspid regurgitation and atrial septal defect. Post-operative leg stockings, low molecular weight heparin was given to prevent thromboembolic episodes. The second case was a middle aged woman in her late forties with fibroid uterus. She was not on any medication. General anesthesia was chosenfor both of the patients with preoperative aspiration prophylaxis and antibiotic prophylaxis for infective endocarditis. Both patients had an uneventful perioperative course.
Page(s):
61-64
DOI:
DOI not available
Published:
Journal: Anaesthesia, Pain and Intensive Care, Volume: 16, Issue: 1, Year: 2012