Today's episode is the second and final of our obstetric cardiac disease series where we take a close look at a few case scenarios with special guest, Dr Michael Toon.

Our third case takes a closer look at pulmonary hypertension in pregnancy and how this impacts the delivery and our anaesthetic options. We then end with a case in which a patient with congenital cardiac disease and a fontan circulation requires semi-urgent delivery. In our final two cases we take a close look at the pathophysiological changes that occur with the disease process as well as its management for delivery.

Resources for today's episode:

Anaesthetic Care of the Pregnant Patient with Cardiovascular Disease: A Scientific Statement From the American Heart Association by Meng, M.L et al.  (Circulation, 2023)

BJAED: Pulmonary arterial hypertension in pregnancy by Kariyawasam. S., and Brown, J. (be sure to seek access through ANZCA or your national anaesthetic college)

BJAED: Management of cardiac disease in pregnancy by Burt, C.C. & Durbridge, J.

ANZCA 2015 Blue Book: Pulmonary Hypertension: An overview for the "non cardiac" anaesthetist by Smith, I. (p 75)

ECS Guidelines: Cardiovascular Diseases During Pregnancy (Management of) Guidelines (this link includes further links to the pocket guidelines app)

Obstetric Anesthesia and Heart Disease: Practical Clinical Considerations by Meng, M.L. & Arendt, K.W. 

Obstetric anesthesia management of the patient with cardiac disease by Arendt, K.W. & Lindley, K.J.

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