Anesthetic Management of the Pregnant Patient with Congenital Heart Disease Undergoing a Dilation and Curettage
A 24-year-old G2P0 female at 16w5d gestation presented with increased dyspnea and fatigue. Patient had a history of congenital heart disease s/p VSD repair, RVOT reconstruction, and PVR with a bioprosthetic valve at two years of age. An echo showed severe TR and new onset pulmonary hypertension with RVSP 75-80 mmHg. Given these new findings, the patient underwent an elective evacuation D and C. In this medically challenging case report, we will discuss anesthetic care and peri-operative management of CHD-associated pulmonary hypertension in the pregnancy patient undergoing a D and C.
Bolz E, Moussa A, Patel P. Anesthetic management of the pregnant patient with congenital heart disease undergoing a dilation and curettage. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 15; San Francisco, CA.