Cervical Epidural Anaesthesia in a Patient with Ebstein’s Anomaly requiring Total Thyroidectomy

Ebstein’s anomaly is a congenital malformation of the tricuspid valve with myopathy of the right ventricle leading to dilatation and atrialisation of the right ventricle, with varying degrees of malformation along with restriction of diastolic filling of ventricles. Disease severity in Ebstein’s anomaly can range from asymptomatic patients to severe debilitating disease. These patients are at increased risk of developing ventricular and supraventricular tachycardia, congestive cardiac failure and death. This case report is about a 37-year-old female with Ebstein’s anomaly who presented with atrial fibrillation and right-sided heart failure. She successfully underwent total thyroidectomy under cervical epidural anaesthesia.