Management of cardiac arrest in a parturient with Eisenmenger's syndrome and complete atrioventricular block during Cesarean section: a case report.
10.4097/kjae.2015.68.6.617
- Author:
Gaab Soo KIM
1
;
Mikyung YANG
;
Choo Hoon CHANG
;
Eun Kyung LEE
;
Jeong Yeon CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. anesyang@skku.edu
- Publication Type:Case Report
- Keywords:
Atrioventricular block;
Cardiopulmonary resuscitation;
Cesarean section;
Eisenmenger complex
- MeSH:
Adult;
Apgar Score;
Atrioventricular Block*;
Cardiopulmonary Resuscitation;
Cesarean Section*;
Defibrillators, Implantable;
Eisenmenger Complex*;
Emergencies;
Extracorporeal Membrane Oxygenation;
Female;
Heart Arrest*;
Humans;
Obstetric Labor, Premature;
Pregnancy;
Shock;
Tachycardia, Ventricular;
Ventricular Fibrillation
- From:Korean Journal of Anesthesiology
2015;68(6):617-621
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 26-year-old parturient with Eisenmenger's syndrome and complete atrioventricular block was presented for emergency Cesarean section due to preterm labor. Ventricular tachycardia (VT), which progressed to ventricular fibrillation (VF), started immediately after the incision. Cardiopulmonary resuscitation with electric shocks was given by anesthesiologists while the obstetrician delivered the baby between the shocks. A cardiac surgeon was ready for extracorporeal membrane oxygenation institution in case of emergency but spontaneous circulation of the patient returned after the 3rd shock and the delivery of the baby. The newborn's Apgar score was 4 at 1 minute and 8 at 5 minutes. An implantable cardioverter-defibrillator was inserted before the discharge because the patient had recurrent episodes of VT and VF postoperatively.
