Anesthetic experience during a laparoscopic appendectomy in a pregnant patient with isolated cor triatriatum sinister

Anesthetic experience during a laparoscopic appendectomy in a pregnant patient with isolated cor triatriatum sinister

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A 39-year-old pregnant patient with acute appendicitis was planned for emergency laparoscopic appendectomy in the second trimester of pregnancy.Preoperative two-dimensional simply southern cat shirt transthoracic echocardiography revealed asymptomatic cor triatriatum sinisiter (CTS), dividing left atrium into two chambers.There here was no associated cardiac anomaly, wall motion abnormality, or pulmonary hypertension.We report the case of a pregnant patient with CTS who uneventfully underwent laparoscopic appendectomy without invasive cardiac monitoring using total intravenous anesthesia.