Anesthetic management of a parturient with Shone’s syndrome -a case report with review of literature
| Autor: | Dinesh. K Meessala, Jennifer Eccles, Kailash P. Bhatia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coarctation of the aorta Case Report 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Mitral valve stenosis Anesthesiology Mitral valve medicine Deformity RD78.3-87.3 030212 general & internal medicine Peripartum Period epidural anesthesia spinal anesthesia Pregnancy cesarean section business.industry aortic stenosis medicine.disease Surgery Stenosis Anesthesiology and Pain Medicine medicine.anatomical_structure cardiovascular system mitral valve stenosis medicine.symptom Presentation (obstetrics) business aortic coarctation |
| Zdroj: | Korean Journal of Anesthesiology, Vol 74, Iss 4, Pp 342-349 (2021) Korean Journal of Anesthesiology |
| ISSN: | 2005-7563 2005-6419 |
| Popis: | Background Shone's syndrome is a rare complex congenital cardiac condition, characterised by a supra-valvular mitral ring, parachute deformity of the mitral valve, aortic stenosis and coarctation of the aorta. Case A 24-year-old parturient with partial Shone's syndrome presented to our delivery unit in pulmonary oedema. She underwent a scheduled cesarean section performed under a combined spinal epidural anesthetic at 33 weeks. She had a multidisciplinary input from the cardiac, obstetric and anesthetic team which led to a good outcome. A review of the six published case reports of Shone's syndrome in pregnancy are presented along with key findings. Conclusions Our case report along with the review highlights the successful use of combined spinal epidural anesthetic, as well as provides guidance to the multidisciplinary team on the varied presentation and the optimum management of women with Shone's syndrome during the peripartum period. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|