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Anesthesia for cesarean in pregnant with uncorrected failot tetralogy

Obstetrics & Gynecology International Journal
Ana Leslie Tijero Espinoza,1 Dante Junior Segura Pinedo,2 Sandoval Valiente Luis Enrique3


Tetralogy of Fallot is the most common cyanotic congenital heart disease. Hemodynamic changes can cause serious and fatal multi-organ complications, the choice of anesthesia is very difficult.Combined spinal epidural techniques have become an alternative to traditional neuraxial interventions; the advantages of spinal or subarachnoid block are fused with the flexibility of the epidural technique; they offer a fast, effective and minimally toxic spinal block, improve inadequate block, and prolong the duration of anesthesia with epidural supplements.The purpose of this article is to report the case of a pregnant woman with a diagnosis of uncorrected Tetralogy of Fallot and the anesthetic technique of effective establishment without producing harmful hemodynamic changes for the mother-child binomial.


Combined spinal epidural technique; obstetric anesthesia; Caesarean section; Tetralogy of Fallot uncorrected