Graded Epidural Anaesthesia for Abdominal Hysterectomy in an Adult with Congenital Heart Disease: A Case Report

Background: Congenital heart anomalies pose challenges during anaesthesia with its associated morbidities; Cor-triatriatum dexter may be associated with other heart anomalies which subject the patient to increased risks. Case Presentation: We here-in report the case of a 30 yr old woman that had cor-triatriatum dexter with associated multiple atrial septal defects, rheumatic valvular heart disease, pulmonary hypertension and associated ventricular dysfunction that had total abdominal hysterectomy under graded epidural anaesthesia. Conclusion: High risk patients with multiple congenital anomalies may undergo anaesthesia with careful choice of anaesthesia technique