Anesthetic management for emergency cesarean section and aortic valve replacement in a parturient with severe bicuspid aortic valve stenosis and congestive heart failure.
Ann Card Anaesth
;
2010 Jan; 13(1): 64-68
Artigo
em Inglês
| IMSEAR
| ID: sea-139496
ABSTRACT
Asymptomatic women with mild aortic stenosis (AS) and normal left ventricular functions can successfully carry pregnancy to term and have vaginal deliveries. However, severe AS (valve area <1.0cm 2 ) can result in rapid clinical deterioration and maternal and fetal mortality. So, these patients require treatment of AS before conception or during pregnancy preferably in the second trimester. In suitable patients percutaneous balloon aortic valvutomy appears to carry lower risk. It can also be used as a palliative procedure allowing deferral of aortic valve replacement until after delivery. The present patient had severe critical AS with congestive heart failure that was refractory to medical therapy and the fetus was viable (>28wks). So, combined lower segment cesarean section and aortic valve replacement were performed under opioid based general anesthesia technique to reduce the cardiac morbidity and mortality.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Valva Aórtica
/
Estenose da Valva Aórtica
/
Complicações Cardiovasculares na Gravidez
/
Feminino
/
Humanos
/
Gravidez
/
Cesárea
/
Adulto
/
Emergências
/
Insuficiência Cardíaca
Idioma:
Inglês
Revista:
Ann Card Anaesth
Ano de publicação:
2010
Tipo de documento:
Artigo
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