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Int J Obstet Anesth. 2013 Jul;22(3):251-4. doi: 10.1016/j.ijoa.2013.04.009. Epub 2013 May 22.

Caesarean section in a parturient with Carpenter syndrome and corrected Tetralogy of Fallot.

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1
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK. manishb13@yahoo.com

Abstract

Carpenter syndrome is an extremely rare congenital disorder characterized by craniofacial malformations, syndactyly, cardiac defects and obesity. Even after surgical correction of cardiac abnormalities, intrapartum care of a parturient with this condition can be challenging because of progression of residual cardiac defects compounded by the haemodynamic changes of pregnancy. We describe the anaesthetic management for caesarean section of a parturient with Carpenter syndrome and corrected Tetralogy of Fallot. Additional complicating issues included worsening cardiac function, asthma, needle-phobia and osteoarthritis.

PMID:
23706836
DOI:
10.1016/j.ijoa.2013.04.009
[Indexed for MEDLINE]
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