Case Studies

Case report of a caesarean delivery in a primigravida with congenitally corrected transposition of the great arteries

P.S. Odendaal, J.L. Burke
Southern African Journal of Anaesthesia and Analgesia | Vol 28, No 2 | a1154 | DOI: https://doi.org/10.36303/SAJAA.2022.28.2.2677 | © 2022 P. S. Odendaal, J. L. Burke | This work is licensed under Other
Submitted: 19 November 2025 | Published: 01 March 2022

About the author(s)

P.S. Odendaal, Department of Anaesthesiology and Critical Care, Stellenbosch University, South Africa
J.L. Burke, Department of Anaesthesiology and Critical Care, Stellenbosch University, South Africa

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Abstract


We present a case of a 27-year-old primigravida with complex congenital heart disease who underwent an elective caesarean delivery at a tertiary institution in South Africa. Pregnancy has profound implications for this subset of patients. Vaginal delivery with epidural analgesia is safe in parturients with congenital heart disease. In this case, however, operative delivery was indicated, and we conducted a general anaesthetic under intraoperative transoesophageal echocardiography monitoring.



Keywords

congenital heart disease; transposition of great arteries; pregnancy; transoesophageal echocardiography; caesarean delivery

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