General Anaesthesia for Caesarean Section in a Patient with Uncorrected Complex Cyanotic Heart Disease

CASE HISTORY A 24-year-old, 41 kg Vietnamese woman was admitted to hospital at 32 weeks' gestation because of increasing cyanosis and dyspnoea. She was known to have dextrocardia, situs inversus, a double-outlet right ventricle (DORV) and associated large ventricular septal defect (VS D) with severe pulmonary stenosis (PS). The diagnosis of her cardiac condition had been made 22 months previously and results of cardiac catheterisation studies at that time are listed in Table 1. The past medical history included a spon-