Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle: a case report.
10.4097/kjae.2016.69.6.632
- Author:
Stefano CATARCI
1
;
Fabio SBARAGLIA
;
Bruno Antonio ZANFINI
;
Salvatore VAGNONI
;
Luciano FRASSANITO
;
Gaetano DRAISCI
Author Information
1. Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy. s.catarci@gmail.com
- Publication Type:Case Report
- Keywords:
Glenn circulation;
Major congenital heart defect;
Obstetric anesthesia
- MeSH:
Adult;
Anesthesia*;
Anesthesia, Obstetrical;
Cardiotocography;
Cesarean Section*;
Female;
Heart Defects, Congenital;
Hemodynamics;
Humans;
Pregnancy;
Pulmonary Artery
- From:Korean Journal of Anesthesiology
2016;69(6):632-634
- CountryRepublic of Korea
- Language:English
-
Abstract:
The number of women with major congenital heart defects reaching reproductive age is likely increasing. We herein describe the anesthetic management of a 33-year-old woman at 37 gestational weeks with a history of Glenn surgery who was undergoing an urgent cesarean section due to pathological cardiotocography. Combined spinal-epidural anesthesia was the most suitable technique for urgent cesarean section in our patient with a single ventricle and phasic flow in the pulmonary artery because it provided rapid-onset anesthesia with negligible hemodynamic effects.
