Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis

Autor:	Shouming Chen, Lan Wu, Xiaoqin Jiang
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Subvalvular aortic stenosis Pregnancy Cesarean section Hypotension Anesthesiology RD78.3-87.3
Zdroj:	BMC Anesthesiology, Vol 19, Iss 1, Pp 1-3 (2019)
Druh dokumentu:	article
ISSN:	1471-2253
DOI:	10.1186/s12871-019-0791-x
Popis:	Abstract 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 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.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/80c5b074954c4e2a82a02c535df0f57c Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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