Anaesthesia for a patient with Co-arctation of aorta undergoing cesarean section
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 3, Issue 2
Abstract
Pregnancy and its associated challenges in cardiovascular physiology present a unique challenge in a woman with an underlying heart disease. In this case a 23 year old primi-granida, 38 weeks of gestational age, with coarctation of aorta was posted for elective caesarean section. 2D-Echo showed EF=62%, concentric LVH, bicuspid aortic valve, coarctation of aorta distal to left, mild AS, mild AR. During the procedure, intraoperatively hemodynamics were monitored and B.P remained stable throughout (111/70 to 130/82 mm Hg). At the end of surgery the patient reversed and extubated successfully. New-born APGAR SCORE was of 8 and 10 at 1 and 5 min respectively. Coarctation of aorta in a pregnant patient is a unique challenge to the obstreticians and anaesthesiologists and requires a thorough understanding of the impact of pregnancy on hemodynamic response to coarctation of aorta. Purpose of this paper is to provide an overview of the preoperative and intraoperative implications of CHD for the anaesthesiologist involved in the care of adults with CHD undergoing non cardiac surgery.
Authors and Affiliations
Ritika Sharma, Sanhita Jiten Kulkarni, Nagesh Jumbure
Keywords
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