Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis
| Autor: | Xiaoqin Jiang, Lan Wu, Shouming Chen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Bradycardia medicine.medical_specialty genetic structures Case Report Unconsciousness behavioral disciplines and activities Aortocaval compression lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine Pregnancy 030202 anesthesiology Anesthesiology Supine Position Syncope Vasovagal medicine Humans Fetus business.industry Subvalvular aortic stenosis Hemodynamics 030208 emergency & critical care medicine Aortic Stenosis Subvalvular medicine.disease Position (obstetrics) Anesthesiology and Pain Medicine lcsh:Anesthesiology Anesthesia Female Hypotension Subvalvular Aortic Stenosis medicine.symptom Cesarean section Complication business psychological phenomena and processes |
| Zdroj: | BMC Anesthesiology, Vol 19, Iss 1, Pp 1-3 (2019) BMC Anesthesiology |
| DOI: | 10.21203/rs.2.284/v1 |
| Popis: | Background: Maternal cardiac arrest during cesarean section (CS) is an extremely rare but devastating complication. Preventing emergency events from developing into maternal cardiac arrest is one of the most challenging clinical scenarios. Case presentation: A 35-year-old pregnant woman with subvalvular aortic stenosis (SAS) who was scheduled for elective CS under epidural anesthesia, and experienced devastating supine hypotensive syndrome, but was successfully resuscitated after delivery. Conclusions: The performance of tilt position strictly or high-quality continue manual left uterine displacement (LUD) should be performed until the fetus is delivered, otherwise timely delivery of the fetus may be the best way to optimize the deadly condition. Keywords: Subvalvular aortic stenosis, Pregnancy, Cesarean section, Hypotension. |
| Databáze: | OpenAIRE |
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