The Fontan procedure and its modifications is the definitive therapy for a number of congenital heart diseases. Anesthesia for semi-elective Caeserian section in a pregnant woman with a history of such surgery history can be a real challenge due to probability of high perioperative morbidity and mortality. We present the anesthetic management of a young parturient with a history of a partially repaired complex cyanotic congenital heart disease and perform a literature review.

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As general anaesthesia administered during the first two trimesters of pregnancy for gynaecological procedures was associated with a high incidence of mis-carriage and exposes the fetus to teratogenic effects of drugs, a case of successful breast tumour extraction under thoracic paravertebral block is reported with review of the literature.

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