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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Cesarean delivery in a parturient with a left ventricular assist device

S Gayam1, J Staab1, G Shih1

  • 1Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA.

International Journal of Obstetric Anesthesia
|August 18, 2020
PubMed

Left ventricular assist devices are implanted pumps designed to treat patients with heart failure, and in some cases, to be a bridge to transplantation for patients who qualify. The preconception presence of a left ventricular assist device is a relative contraindication to pregnancy. Few cases have been published regarding the anesthetic management of parturients with left ventricular assist devices. We present the care of a 24-year-old gravida seven, para two woman who presented for induction of labor at gestational age 34 and 6/7 weeks. Her medical history was significant for the presence of a left ventricular assist device, inserted due to heart failure associated with polysubstance abuse. To our knowledge, this is the first description of successful cesarean delivery under neuraxial anesthesia of a parturient with a left ventricular assist device.

Keywords:
Cesarean deliveryEpiduralLVADLeft ventricular assist deviceNeuraxial anesthesiaPregnancy

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