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Anaesthetic Management of Pregnant Woman with Coarctation of Aorta for LSCS


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1 JNMC, Belagavi, India

Congenital heart disease is presenting 7-10 of every 1000 live birth, the share of coarctation of aorta is 2-10% with M:F ratio 2:1. Pregnancy with COA is a special situation to be managed by anaesthesiologist. In patient with COA, cardiovascular decompensations / complications can occur. Maternal mortality is almost 3-8%. Adverse neonatal effects are also known to occur. We report a successful epidural anaesthesia for elective LSCS in a patient of COA.

Keywords

Coarctation of Aorta, Elective Lscs, Regional Anesthesia, Non-Invasive Monitoring.
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  • Theodore R, Manullang, KC et al; The use ofRemifentanil for Caesarean section in aparturient with recurrent aortic coarctation.Canadian Journal of Anaesthesia 2000; 47(5):454-459

  • H. Baumgartner, P. Bonhoeffer, N. M. De Gischolar_main et al. Guidelines for the management of grown-up congenital heart disease. European Heart Journal 2010; 31(23) pp. 2915–2957


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  • Anaesthetic Management of Pregnant Woman with Coarctation of Aorta for LSCS

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Authors

Sindhu
JNMC, Belagavi, India
C. S. Sanikop
JNMC, Belagavi, India

Abstract


Congenital heart disease is presenting 7-10 of every 1000 live birth, the share of coarctation of aorta is 2-10% with M:F ratio 2:1. Pregnancy with COA is a special situation to be managed by anaesthesiologist. In patient with COA, cardiovascular decompensations / complications can occur. Maternal mortality is almost 3-8%. Adverse neonatal effects are also known to occur. We report a successful epidural anaesthesia for elective LSCS in a patient of COA.

Keywords


Coarctation of Aorta, Elective Lscs, Regional Anesthesia, Non-Invasive Monitoring.

References





DOI: https://doi.org/10.18311/isacon-Karnataka%2F2017%2FEP051