Graded Epidural Anaesthesia for Abdominal Hysterectomy in an Adult with Congenital Heart Disease: A Case Report

Main Article Content

Mamuda Atiku
Dalhat Salahu
Abdullahi Mustapha Miko
Datti Mohammed Alhassan
Zynat Alhassan
Aminu Auwalu Bala

Abstract

Background: Congenital heart anomalies pose challenges during anaesthesia with its associated morbidities; Cor-triatriatum dexter may be associated with other heart anomalies which subject the patient to increased risks.


Case Presentation: We here-in report the case of a 30 yr old woman that had cor-triatriatum dexter with associated multiple atrial septal defects, rheumatic valvular heart disease, pulmonary hypertension and associated ventricular dysfunction that had total abdominal hysterectomy under graded epidural anaesthesia.


Conclusion: High risk patients with multiple congenital anomalies may undergo anaesthesia with careful choice of anaesthesia technique

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Original Articles

Author Biographies

Mamuda Atiku, Aminu Kano Teaching Hospital

Department of Anaesthesia, Aminu Kano Teaching Hospital

Abdullahi Mustapha Miko, Aminu Kano Teaching Hospital

Aminu Kano Teaching Hospital

Datti Mohammed Alhassan, Aminu Kano Teaching Hospital

Department of Anaesthesia, Aminu Kano Teaching Hospital

Zynat Alhassan, Aminu Kano Teaching Hospital

Department of Anaesthesia, Aminu Kano Teaching Hospital

Aminu Auwalu Bala, Aminu Kano Teaching Hospital

Department of Anaesthesia, Aminu Kano Teaching Hospital

How to Cite

1.
Atiku M, Salahu D, Abdullahi MM, Alhassan DM, Alhassan Z, Bala AA. Graded Epidural Anaesthesia for Abdominal Hysterectomy in an Adult with Congenital Heart Disease: A Case Report. NJA [Internet]. 2025 Nov. 19 [cited 2025 Nov. 24];2(2):114-6. Available from: https://njan.org.ng/index.php/home/article/view/49

References

1. Vukovic P, Kosevic D, Milicic M, Jovovic L, Stojanovic I, Micovic S. Cor-Triatriatum Dexter and Atrial Septal Defect in a 43-year old woman. Texas Inst J 2014; 41(4):418-20.

2. Federica S, Tze Y, Tasha W Weingarten N, Sprung J et al. Anesth and cor-triatriatum. Annals Cardiac Anaesth 2014; 17(2):111-16.

3. Junghare W, Desurkar V. Congenital heart diseases and anaesthesia. Ind J Anaesth 2017;61(9):744-52.

4. Dobbertin A, Carole A, Seward J. Cor-triatriatum dexter in an adult diagnosed by transesophageal echocardiography: A case report. J Am Soc of Echo 1995; 8(6): 952-57.

5. Alhaddad T, Hamid A, Mohammed A, Mohsen H. Cor-triatriatum in a Pediatric Patient, Accidental Point of Care Ultrasound Discovery. POCUS J 2025;10(1):188-91.

6. Lee H, Sung H, Kim S. Anesthetic management of non-cardiac surgery with adult onset type of cortriatriatum sinister -A case report. Kor J Anesth 2011; 60(6): 444-48.

7. Christopher A, Thomas, Ryan J, David F. Condon, Vinicio A et al. Diagnosis and Management of Pulmonary Hypertension in the Modern Era: Insights from the 6th World Symposium. Pulm Ther 2020; 6: 9-22.

8. Chidananda S, Aninditha M, Rao L, Pandith S. Anaesthetic management of a patient with severe pulmonary arterial hypertension for renal transplantation. Indian J Anaesth 2017; 61(2): 187-89.

9. Yen P. ASD and VSD Flow Dynamics and Anesthetic Management. Anaesth Prog 2015; 62(3):125–30.

10. Ryu T, Young S. Perioperative management of left ventricular diastolic dysfunction and heart failure: an anesthesiologist's perspective. Kor J Anesthesiol 2017;70(1):3–10.

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