Safe management of cesarean section in a patient of Eisenmenger syndrome.
Ann Card Anaesth
;
2012 Oct; 15(4): 296-298
Artículo
en Inglés
| IMSEAR
| ID: sea-143922
ABSTRACT
We report our experience of a 29-year-old female with a complete atrio-ventricular septal defect leading to a single ventricle physiology and Eisenmenger syndrome. The patient successfully underwent spinal anesthesia for cesarean section in the 31 st week of pregnancy. A multidisciplinary approach involving cardiologist, cardiac surgeon, obstetrician, and anesthesiologist was utilized to achieve a safe pregnancy and cesarean for the delivery of the baby. A close clinical assessment is required, especially during the third trimester when the risk of acute right ventricular dysfunction increases. The use of extracorporeal membrane oxygenation (ECMO) (as a bridge to recovery or bridge to salvage) was planned to support oxygenation and circulation in case of acute biventricular dysfunction. The delivery/cesarean section was performed in a cardiac surgery operating room, and to reduce the time-frame for ECMO institution the femoral vessels were exposed surgically before the cesarean section.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Femenino
/
Humanos
/
Embarazo
/
Resultado del Embarazo
/
Cesárea
/
Complejo de Eisenmenger
/
Defectos del Tabique Interatrial
/
Defectos del Tabique Interventricular
/
Anestesia Raquidea
/
Persona de Mediana Edad
Idioma:
Inglés
Revista:
Ann Card Anaesth
Año:
2012
Tipo del documento:
Artículo
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