TY - JOUR
AR - SCR-2021-8-108
TI - The Anaesthetic Management of a Parturient with an Ebstein Anomaly and Prior Bidirectional Glenn Shunt
AU - Shamantha , G. Reddy
AU - Anthony J., Wavrin
AU - Elizabeth M., Vue
AU - Jerry Y., Chao
AU - Steven , L. Chen
AU - Fadi , Farah
JO - Surgical Case Reports
PY - 2021
DA - Thu 19, Aug 2021
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2021.08.08
UR - https://www.sciencerepository.org/the-anaesthetic-management-of-a-parturient_SCR-2021-8-108 
KW - Ebstein anomaly, Glenn shunt, obstetric anaesthesiology, pregnancy
AB - Parturients with Ebstein anomaly are an anaesthetic challenge due to the spectrum of disease. Patients palliated with bidirectional Glenn shunts are susceptible to right heart dysfunction due to the physiological changes during parturition. We present a 28-year-old primigravida with Ebstein anomaly surgically managed by a bidirectional Glenn shunt. Echocardiograms showed normal right ventricular function despite reported dyspnea as the pregnancy progressed. Following a comprehensive plan developed during multidisciplinary prenatal meetings, she safely delivered. In this case report, we discuss the preoperative evaluation, management of labour and delivery, and postpartum planning of parturients with palliated Ebstein anomaly.