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Goel L et al. - There is a large increase in total blood volume and a significant increase in cardiac output in pregnancy which places haemodynamic strain on the cardiovascular system. This excessive burden further increases in a patient with left to right shunt resulting from ruptured aneurysm of right sinus of Valsalva. Caesarean section under general anaesthesia appears to be an optimal management of delivery in pregnancy of such patients. The definitive surgical repair of cardiac defect can be undertaken subsequently depending upon the condition of the patient.

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