General Anesthesia for Cesarean Section in a Pregnant Woman with Truncus Arteriosus Intraoperatively Monitored by Transesophageal Echocardiography

Truncus arteriosus (TA) is defined as a congenital cardiovascular malformation in which one great artery arises from the base of heart and gives origin to pulmonary systemic arteries. TA patients who become pregnant have high morbidity mortality rates because physiologic changes during pregnancy can worsen cardiopulmonary balance causing decompensation. In this case report we successful general anesthesia truncus patient with severe hypertension (Eisenmenger syndrome) underwent full-term delivery monitored by intraoperative transesophageal echocardiography, new technique assist physicians dealing hemodynamic instability both cardiac noncardiac surgery.