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Anesth Analg ; 107(5): 1652-4, 2008 Nov.
Article in English | MEDLINE | ID: mdl-18931228

ABSTRACT

Shone's syndrome is a rare congenital cardiac condition that consists of up to four obstructive left-sided cardiac lesions. We report a 17-yr-old nullipara with Shone's syndrome who presented for cesarean delivery. She had mild mitral stenosis and mild left ventricular outflow tract obstruction. Epidural anesthesia was attempted, but the patient developed severe hypotension associated with fetal bradycardia necessitating immediate cesarean delivery under general anesthesia. The peripartum anesthetic and management considerations for these patients are discussed.


Subject(s)
Aortic Coarctation/complications , Cesarean Section/methods , Pregnancy Complications/surgery , Adolescent , Apgar Score , Female , Humans , Infant, Newborn , Live Birth , Mitral Valve Stenosis/complications , Pregnancy , Pregnancy Outcome , Ventricular Dysfunction, Left/complications
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