TY  - JOUR
T1  - Düzeltilmemiş Büyük Arter Transpozisyonu ve Pulmoner Hipertansiyonu olan Gebenin Sezaryenle Doğumunda Anestezi Yönetimi
TT  - Management of Anesthesia During Cesarean Delivery of a Pregnant Woman with Uncorrected Transposition of the Great Arteries and Pulmonary Hypertension
AU  - Günaydın, Berrin
AU  - Camgöz Eryılmaz, Nuray
AU  - Karakaya, Elif
AU  - Erel, Selin
PY  - 2024
DA  - December
Y2  - 2024
DO  - 10.18663/tjcl.1598122
JF  - Turkish Journal of Clinics and Laboratory
JO  - TJCL
PB  - DNT Ortadoğu Yayıncılık A.Ş.
WT  - DergiPark
SN  - 2149-8296
SP  - 675
EP  - 678
VL  - 15
IS  - 4
LA  - tr
AB  - Düzeltilmemiş Büyük Arter Transpozisyonu ve Pulmoner Hipertansiyonu olan Gebenin Sezaryenle Doğumunda Anestezi YönetimiBu olgu sunumunda konjenital büyük arter transpozisyonu ve pulmoner hipertansiyonu olan gebenin sezaryenle doğumunda perinatoloji, kardiyoloji ve anestezi ekibinin multidisipliner yönetimini sunmayı amaçladık. ASA IV 36 haftalık düzeltilmemiş büyük arter transpoziyonu ve PH tanısı olan gebenin sezaryenle doğumu için kombine spinal epidural blok tekniğini ve uterotonik olarak sentetik oksitosin analoğu karbetosini tercih ederek anne ve bebek için sorunsuz başarılı bir per- ve postoperatif yönetim gerçekleştirdik.
KW  - Anahtar Kelimeler: Sezaryen doğum
KW  - Kombine spinal epidural anestezi
KW  - büyük arter transpozisyonu
KW  - pulmoner hipertansiyon
N2  - In this case report, we aimed to present the multidisciplinary management of the perinatology, cardiology and anesthesia team during the cesarean delivery of a pregnant woman with congenital great artery transposition and pulmonary hypertension (PH). We achieved a smooth and successful per- and postoperative management for the mother and the baby by choosing the combined spinal epidural block technique and the synthetic oxytocin analogue carbetocin as an uterotonic for the cesarean delivery of an ASA IV 36-week pregnant woman diagnosed with uncorrected great artery transposition and PH.
CR  - American College of Obstetricians and Gynecologists' Presidential Task Force on Pregnancy and Heart Disease and Committee on Practice Bulletins—Obstetrics. ACOG Practice Bulletin No. 212: Pregnancy and Heart Disease. Obstet Gynecol 2019 May;133(5):e320-e356. doi: 10.1097/AOG.0000000000003243.
CR  - Thompson JL, Kuklina EV, Bateman BT, Callaghan WM, James AH, Grotegut CA. Medical and Obstetric Outcomes Among Pregnant Women With Congenital Heart Disease. Obstet Gynecol 2015;126(2):346-54. doi:10.1097/AOG.0000000000000973. PMID: 26241425; PMCID: PMC4605664.
CR  - Meng ML, Arendt KW. Obstetric Anesthesia and Heart Disease: Practical Clinical Considerations. Anesthesiology 2021;135(1):164-83. doi: 10.1097/ALN.0000000000003833.
CR  - Hendrix JM. A Literature Review on the Anesthetic Management of Pulmonary Arterial Hypertension in Non-cardiothoracic Surgery. Cureus 2023;15(5):e39356. doi: 10.7759/cureus.
CR  - Rajagopal S, Ruetzler K, Ghadimi K, Horn EM, Kelava M, Kudelko KT, Moreno-Duarte I, Preston I, Rose Bovino LL, Smilowitz NR, Vaidya A; American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, and the Council on Cardiovascular and Stroke Nursing. Evaluation and Management of Pulmonary Hypertension in Noncardiac Surgery: A Scientific Statement From the American Heart Association. Circulation 2023;147(17):1317-43. doi: 10.1161/CIR.0000000000001136.
CR  - Smilowitz NR, Armanious A, Bangalore S, Ramakrishna H, Berger JS. Cardiovascular outcomes of patients with pulmonary hypertension undergoing noncardiac surgery.The Am J Cardiol 2019;123(9):1532-7.
CR  - Arendt KW, Lindley KJ. Obstetric anesthesia management of the patient with cardiac disease. Int J Obstet Anesth 2019;37:73-85. doi: 10.1016/j.ijoa.2018.09.011.
CR  - Wang P, Chen X, Zang J, Ma Y. Continuous epidural anesthesia with double catheters for cesarean section in a patient with severe pulmonary hypertension: A case report. Medicine 2021; 100(47):p e27979. | DOI: 10.1097/MD.0000000000027979
CR  - Camgöz Eryılmaz N, Emmez G, Keskin RB, Arabacı O, Günaydın B. Management of an uncorrected tetralogy of fallot for caesarean section using low-dose combined spinal epidural anaesthesia under advanced haemodynamic monitorization. Turk J Anesthesiol Reanim 2022;50(4):315-17.
CR  - Yilmaz N, Koksal E, Ozgen GU, Ozen E, Dilek A, Karakaya D, Ulger F. Anesthetic management of urgent cesarean section with undiagnosed transposition of great arteries. Med Arch 2016;70(3):226-8. doi: 10.5455/medarh.2016.70.226-228.
UR  - https://doi.org/10.18663/tjcl.1598122
L1  - http://dergipark.org.tr/tr/download/article-file/4424978
ER  -