• Acta Anaesthesiol Taiwan · Jun 2010

    Case Reports

    Takayasu aortoarteritis with dilated cardiomyopathy: anesthetic management of labor analgesia.

    • Renu Sinha and Vimi Rewari.
    • Department of Anesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi, India. renuagarwal4@rediffmail.com
    • Acta Anaesthesiol Taiwan. 2010 Jun 1; 48 (2): 99-102.

    AbstractTakayasu aortoarteritis in a pregnant patient is often associated with severe life-threatening complications. The coexistence of associated dilated cardiomyopathy can further complicate the pregnancy, particularly during parturition and at the time of delivery. We describe the management of labor analgesia in a symptomatic parturient suffering from advanced Takayasu aortoarteritis with dilated cardiomyopathy and a recent episode of congestive cardiac failure. The patient was man-aged with graded epidural analgesia instituted early in labor. Intermittent boluses of 0.0625% bupivacaine with 2 microg/mL fentanyl were administered epidurally, which provided adequate analgesia without impaired hemodynamic status.2010 Taiwan Society of Anesthesiologists. Published by Elsevier B.V. All rights reserved.

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