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Int J Obstet Anesth · Nov 2020
Case ReportsCesarean delivery in a parturient with a left ventricular assist device.
- S Gayam, J Staab, G Shih, and S Stoops.
- Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA. Electronic address: sgayam@kumc.edu.
- Int J Obstet Anesth. 2020 Nov 1; 44: 53-55.
AbstractLeft 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.Copyright © 2020 Elsevier Ltd. All rights reserved.
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