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Vol. 39. Issue 2.
Pages 240-249 (May - July 2011)
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Vol. 39. Issue 2.
Pages 240-249 (May - July 2011)
REPORTE DE CASO
Open Access
Anestesia epidural para cesárea en anomalía de Ebstein
Epidural Anesthesia for Cesarean Section in a Patient with Ebstein's Anomaly
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D. Oscar Hernando Suárez
, Luis Rafael Vargas Acero**, Jessica Astrid Valderrama Hernández***
* Médico, especialista en Auditoría y Calidad en Salud y en Epidemiología Clínica. Estudiante de posgrado en anestesiología, II año, Fundación Universitaria San Martín (FUSM), Bogotá. Colombia. Correspondencia: Calle 86 No. 69H-35 casa 35. Bogotá, Colombia.
** Médico anestesiólogo cardiovascular, Hospital Cardiovascular de Cundinamarca. Colombia.
*** Médico, estudiante de posgrado en anestesiología, I año, FUSM. Bogotá. Colombia.
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RESUMEN

La anomalía de Ebstein es un defecto congénito bastante raro, que consiste en la adherencia de las valvas septal y posterior de la tricúspide al miocardio, lo cual conlleva el desplazamiento apical del anillo tricuspídeo y la auricularización de parte del ventrículo derecho.

Existen en la literatura pocos casos descritos de embarazo y anomalía de Ebstein. En el presente estudio se describe el manejo de una gestante con esta cardiopatía bajo anestesia epidural, siguiendo los principios básicos y actualizados del manejo anestésico con enfermedad cardiaca.

Palabras clave:
Embarazo
anomalía de Ebstein
anestesia
cesárea. (Fuente: DeCS, BIREME)
SUMMARY

Ebstein's anomaly is a rare congenital defect consisting of the adhesion of both the septal and posterior valves of the tricuspid valve to the myocardium which produces an apical displacement of the tricuspid annulus and an atrialization of the right ventricle.

There are few cases described in the literature of pregnancy and Ebstein's anomaly. In this case report, the management of a pregnant patient with this cardiac disease with epidural anesthesia is described following the current basic principles of the anesthetic management of pregnant women with cardiac disease.

Keywords:
Pregnancy
Ebstein anomaly
anesthesia
cesarean section. (Source: MeSH, NLM)
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Copyright © 2011. Revista Colombiana de Anestesiología
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