Subarachnoid Block in a Patient with Ebstein’s Anomaly Posted for Total Abdominal Hysterectomy

Abstract

Ebstein’s anomaly is considered to be one of the rare congenital heart conditions which occur due to abnormal development of tricuspid valve and atrialisation of right ventricle and could be associated with either Atrial Septal Defect (ASD) or Patent foramen ovale through which shunting occurs. It might be associated with other cardiac malformations and rhythm disturbances. In such a patient, clinical presentation varies from congestive cardiac failure in childhood to incidental diagnosis in adulthood. If such a patient comes for surgery, it will be a challenging job for anaesthesiologist. Various cases have been reported of successful management either under general anaesthesia or epidural anaesthesia. In order to avoid complications of general anaesthesia, in a case report of 40-year-old female to provide some knowledge and information on the use of subarachnoid block in the case of Ebstein’s Anomaly posted for total abdominal hysterectomy.

Keywords

• anesthetic management
• congenital anomaly
• congenital heart disease
• spinal anaesthesia