Total intravenous anesthesia for cesarean section in a patient with corrected transposition of the great arteries with etomidate and remifentanil

Abstract

We report anesthetic management of a 34 years old, term pregnant woman, for elective cesarean section, who had congenitally corrected transposition of the great arteries (CCTGA), associated with severe pulmonary stenosis and severe tricuspid regurgitation. We used etomidate, remifentanil and cisatracurium as Total Intravenous Anesthesia with invasive hemodynamic monitoring. The postoperative course was uneventful, and the patient was discharged from the hospital on the second postoperative day.