Anaesthetic management of a parturient with pulmonary stenosis and aortic incompetence for Caesarean section.
نویسندگان
چکیده
Anaesthetic management of Caesarean section in a parturient with severe pulmonary stenosis and aortic regurgitation is described. The valvular sequelae resulted from previous unsuccessful surgical correction (Ross procedure) of congenital aortic stenosis. This case demonstrates the importance of multi-disciplinary assessment and careful anaesthetic planning, to avoid deterioration in perioperative cardiac performance in parturients with complex valvular disease.
منابع مشابه
Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section
A 31-year-antenatal lady with critical mitral stenosis presented for emergency caesarean section with fetal distress. She had acute onset atrial fibrillation. She was given a combined spinal epidural (CSE) anaesthesia and her arrhythmia was successfully managed after delivery of the baby with intravenous calcium channel blocker. Mitral stenosis is the most common valvular heart disease complica...
متن کاملAnaesthesia for caesarean section in the presence of multivalvular heart disease and severe pulmonary hypertension: a case report
INTRODUCTION Pulmonary hypertension is a rare condition and in combination with pregnancy, it can result in high maternal mortality. Mitral stenosis is one of the complicated cardiac diseases that may occur during pregnancy. In this report, we describe our management of such a case, which was even more difficult in combination with pulmonary hypertension, mitral stenosis, and aortic and tricusp...
متن کاملLow-dose spinal anaesthesia for a parturient with Takayasu's arteritis undergoing emergency caesarean section.
Takayasu's arteritis is a rare form of nonspecific obliterative panarteritis of unknown aetiology. Anaesthesia for patients with Takayasu's arteritis is complicated by severe uncontrolled hypertension leading to end-organ dysfunction, stenosis of major blood vessels affecting regional circulation, and difficulties in the monitoring of arterial blood pressure. The anaesthetic approach for partur...
متن کاملAnaesthetic Management for Emergency Caesarean Section in a Parturient with Klippel Feil Syndrome
A 20 year old female with Klippel Feil Syndrome was scheduled for emergency caesarian section during her 1st pregnancy. We present the successful anaesthetic management of this patient highlighting the various anomalies associated with Klippel Feil Syndrome and the presence of a difficult airway.
متن کاملAnaesthesia for caesarean section in patients with cardiac disease.
This review contains material sourced from Med-Line and Pub-Med, search year 2002-2004. Material selected was pertaining to common cardiac ailments in pregnancy. Congenital cardiac problems i.e. Tetralogy of Fallot (TOF), Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD), Eisenmengers syndrome, valvular heart disease, i.e. mitral stenosis, mitral regurgitation, aortic stensois and aor...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 90 2 شماره
صفحات -
تاریخ انتشار 2003