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.
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Authors | Silvia Minicucci, Vincenzo Segala, Claudio Verdecchia, Piero Sismondi, Riccardo Casabona, Fabrizio Sansone |
Journal | Annals of cardiac anaesthesia
(Ann Card Anaesth)
2012 Oct-Dec
Vol. 15
Issue 4
Pg. 296-8
ISSN: 0974-5181 [Electronic] India |
PMID | 23041687
(Publication Type: Case Reports, Journal Article)
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Topics |
- Cesarean Section
- Eisenmenger Complex
(physiopathology)
- Extracorporeal Membrane Oxygenation
- Familial Primary Pulmonary Hypertension
- Female
- Humans
- Hypertension, Pulmonary
(etiology)
- Pregnancy
- Pregnancy Complications, Cardiovascular
(physiopathology)
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