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OBSTETRIC ANESTHESIOLOGY

Anesthetic Management of Parturients with Congenitally Corrected Transposition of the Great Arteries: Three Cases and a Review of the Literature

Katherine W. Arendt, MD^*, Heidi M. Connolly, MD, Carole A. Warnes, MD, William J. Watson, MD, James R. Hebl, MD^*, and Paula A. Craigo, MD^*

From the *Department of Anesthesiology, Division of Cardiovascular Diseases, Department of Internal Medicine, and Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota.

Address correspondence and reprint requests to Katherine W. Arendt, MD, Department of Anesthesiology, Mayo Clinic, 200 First St. SW, Rochester MN 55905. Address e-mail to arendt.katherine{at}mayo.edu.

Abstract

Women with congenitally corrected transposition of the great arteries (CCTGA) have a propensity for congestive heart failure and cardiac dysrhythmias during pregnancy, labor, and delivery. We report the successful obstetric and anesthetic management of three women with CCTGA, review the pertinent medical literature, and discuss important issues surrounding the anesthetic management of parturients with CCTGA.