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Ann Fr Anesth Reanim · Jan 2011
Case Reports[Obstructive hypertrophic cardiomyopathy and caesarean section under combined spinal and epidural anaesthesia with prophylactic vascular ligation: regarding a case].
- J-B Dolbeau, T Hebert, F Espitalier, J Fusciardi, and M Laffon.
- Service d'anesthésie-réanimation, hôpital Bretonneau, CHRU de Tours, université François-Rabelais de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 1, France. jb_dolbeau@yahoo.fr
- Ann Fr Anesth Reanim. 2011 Jan 1; 30 (1): 64-6.
AbstractWe report the case of a caesarean section under combined spinal and epidural anaesthesia in a pregnant 32-year-old woman with an hypertrophic obstructive cardiomyopathy. In these patients, variations of the ventricular load conditions may induce a cardiac inefficacy. In this context, the post-partum haemorrhage is a feared complication, prevent in part by oxytocine intravenously. However, its injection can be associated with haemodynamic instability, even at a low dose, and it does not spread post-partum haemorrhage. The arterial ligation according to the technique of Tsirulnikov is an alternative that we reported. This technique is followed by a good obstetrical prognosis.Copyright © 2010 Elsevier Masson SAS. All rights reserved.
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