oa Southern African Journal of Anaesthesia and Analgesia - Graded epidural anaesthesia for Caesarean section in a parturient with Shone's syndrome : a case study : case report
|Article Title||Graded epidural anaesthesia for Caesarean section in a parturient with Shone's syndrome : a case study : case report|
|© Publisher:||Medpharm Publications|
|Journal||Southern African Journal of Anaesthesia and Analgesia|
|Affiliations||1 North Bengal Medical College and Hospital, India, 2 RG Kar Medical College and Hospital, India, 3 RG Kar Medical College and Hospital, India and 4 RG Kar Medical College and Hospital, India|
|Publication Date||Jan 2016|
|Pages||41 - 44|
|Keyword(s)||Caesarean section, Epidural anaesthesia, Pregnancy and Shone's syndrome|
Pregnancy with underlying heart disease is a unique challenge both to the obstetrician and the anesthesiologist. Asymptomatic women with mild to moderate single lesions can successfully carry a pregnancy to term and undergo vaginal delivery. However, pregnancy can result in rapid clinical deterioration, which may lead to maternal and/or foetal mortality in symptomatic patients with complex heart diseases, like Shone's syndrome. A thorough understanding of the impact of pregnancy on the haemodynamic response to the patient's cardiac lesion is required for the management of labour and delivery. A meticulous approach is needed when planning anaesthesia for Caesarean section in such a case as the associated haemodynamic effects of both regional and general anaesthesia can have a serious deleterious effect on both the mother and infant.
We report on the successful management of a parturient known to have Shone's syndrome undergoing Caesarean section under graded epidural anaesthesia.
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