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

Stefano Catarci1, Fabio Sbaraglia1, Bruno Antonio Zanfini1

  • 1Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy.

Korean Journal of Anesthesiology
|December 8, 2016
PubMed

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.

Keywords:
Glenn circulationMajor congenital heart defectObstetric anesthesia

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