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Anesthetic Management of Patients with Congenital Complete Heart Block: A Continuing Dilemma?

Pavithran P

Congenital complete heart block can present to us most commonly for management of obstetric surgeries. Anaesthetic management of such patients should be focussed on preventing bradycardia and maintaining hemodynamic stability. Preoperative placement of pacemakers in these patients is still controversial. No clear guidelines exist for the perioperative management of such patients. Here we report our experience with the perioperative management of a patient with congenital complete heart block for emergency caesarean section.