Korean J Anesthesiol.  2016 Dec;69(6):632-634. 10.4097/kjae.2016.69.6.632.

Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle: a case report

• Catarci S
• Sbaraglia
• Zanfini BA
• Vagnoni S
• Frassanito L
• Draisci G

• KMID: 2360481
• DOI: http://doi.org/10.4097/kjae.2016.69.6.632

Abstract

The number of women with major congenital heart defects reaching reproductive age is likely increasing. We herein describe the anesthetic management of a 33-year-old woman at 37 gestational weeks with a history of Glenn surgery who was undergoing an urgent cesarean section due to pathological cardiotocography. Combined spinal-epidural anesthesia was the most suitable technique for urgent cesarean section in our patient with a single ventricle and phasic flow in the pulmonary artery because it provided rapid-onset anesthesia with negligible hemodynamic effects.

Keyword

Glenn circulation; Major congenital heart defect; Obstetric anesthesia

MeSH Terms

Adult
Anesthesia*
Anesthesia, Obstetrical
Cardiotocography
Cesarean Section*
Female
Heart Defects, Congenital
Hemodynamics
Humans
Pregnancy
Pulmonary Artery