A case of cor triatriatum with pregnancy: an anaesthetic challenge.

Pre-anaesthetic evaluation revealed a 50 kg female with no obvious dyspnoea. Central cyanosis was present; heart rate was 136/min and blood pressure 130/90 mmHg. Her renal and liver function tests and coagulation profile were normal. 2D echocardiography with Doppler showed severe pulmonary arterial and venous hypertension with a left ventricular ejection fraction of 55%. Anti-aspiration prophylaxis and infective endocarditis prophylaxis were administered. Continuous ECG, non-invasive blood pressure and pulse oximetry (SpO 2 ) in addition to central venous pressure (CVP) were monitored.