Anaesthetic management of a patient with sub-valvular aortic stenosis for emergency lower segment caesarean section: A case report

Autor:	Anita R Chhabra, Prajakta D Shinde, Vijay L Shetty, Atul M Ganatra
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	caesarean section general anaesthesia sub-valvular aortic stenosis Anesthesiology RD78.3-87.3 Gynecology and obstetrics RG1-991
Zdroj:	Journal of Obstetric Anaesthesia and Critical Care, Vol 12, Iss 1, Pp 74-77 (2022)
Druh dokumentu:	article
ISSN:	2249-4472 51140209
DOI:	10.4103/JOACC.JOACC_48_21
Popis:	Sub-valvular aortic stenosis (SAS) occurs due to a fibrous membrane or a muscular narrowing causing left ventricular outflow tract obstruction. The physiological changes of pregnancy may exacerbate the cardiac condition posing significant challenges for anaesthesia and surgery. A 34 years primigravida, with 32 weeks gestation, a known case of sub-valvular aortic stenosis presented in the emergency room in view of leaking/bleeding per-vagina. Risk factors such as tachycardia, decrease in afterload, preload and increased left ventricle contractility lead to exacerbation of the obstruction and should be avoided. We report a successful anaesthetic management of her lower segment cesarean section while balancing the physiological changes of pregnancy superimposed by pathology of the disease.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/ffa81898a511402096e7557431d5c5e3 Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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