Cesarean section under spinal anesthesia in acquired complete atrioventricular block without a pacemaker: A case...

Area of Science:

• Cardiology
• Obstetrics
• Anesthesiology

Background:

• Complete atrioventricular block during pregnancy presents rare and controversial perioperative management challenges.
• Acquired complete atrioventricular block in pregnancy necessitates careful consideration for delivery procedures.

Observation:

• A successful management of cesarean section in a pregnant patient with acquired complete atrioventricular block was achieved.
• The procedure was performed under spinal anesthesia, notably without the need for a pacemaker.

Findings:

• Asymptomatic pregnant women with acquired complete atrioventricular block can tolerate cesarean section.
• Spinal anesthesia is a viable option for cesarean delivery in this patient population.
• Pacemaker implantation is not always required for cesarean section in such cases.

Implications:

• This case suggests that cesarean section under spinal anesthesia is a safe and feasible option for select pregnant women with complete atrioventricular block.
• It challenges the routine need for pacemakers in asymptomatic pregnant patients with this condition undergoing cesarean delivery.
• Provides evidence for conservative perioperative management strategies in rare obstetric-cardiac emergencies.