Anestesia espinal a través de catéter para cesárea en una mujer con estenosis valvular aórtica severa / Spinal anesthesia through catheter for cesarean section in a woman with severe aortic valve stenosis

RESUMEN

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ABSTRACT

It is the case of afatient 32years- oíd and 34 weeks of gestation with antecedents of severe aortic stenosis that is programmedfor caesarean section. She has been displaying progressive symptoms (dyspnea and síncope) reason why she had tried an aortic valvuloplasty with balloon without satisfactory result. The anesthesia for the procedure was spinal continuous through catheter using 3,75 mgs of 0.5% hyperbaric bupivacaina, 25 mcg of fentanyl and 100 mcg morphine, with invasive monitoring of arterial bloodfressure and cardiac output. Verioperative maternal orfetal complications did not appear. With this report and the revisión of literature, we suggest that the neuroaxial anesthetic techniques are agood alternative to the general anesthesia in fregnated patients with severe aortic valvular stenosis.