Anesthetic experience during a laparoscopic appendectomy in a pregnant patient with isolated cor triatriatum sinister

• Main Authors: Jun Hyun Kim, Myeong Eun Jeong, Kyung Tae Kim, Ji Yeon Kim
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Saudi Journal of Anaesthesia
• Subjects: cor triatriatum; laparoscopic surgery; pregnancy; total intravenous anesthesia
• Online Access: http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=2;spage=257;epage=260;aulast=Kim
• ISSN: 1658-354X

A 39-year-old pregnant patient with acute appendicitis was planned for emergency laparoscopic appendectomy in the second trimester of pregnancy. Preoperative two-dimensional transthoracic echocardiography revealed asymptomatic cor triatriatum sinisiter (CTS), dividing left atrium into two chambers. There was no associated cardiac anomaly, wall motion abnormality, or pulmonary hypertension. We report the case of a pregnant patient with CTS who uneventfully underwent laparoscopic appendectomy without invasive cardiac monitoring using total intravenous anesthesia.