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Int J Obstet Anesth · Nov 2018
Case ReportsAnesthetic management for cesarean delivery in a patient with uncorrected pulmonary atresia, ventricular septal defect and major aortopulmonary collateral arteries.
- S P Gang, K Y Fang, Y Ma, F X Zhang, D K Xiang, X L Liu, R P Wang, D D Chen, and X W Ma.
- Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
- Int J Obstet Anesth. 2018 Nov 1; 36: 125-129.
AbstractPulmonary atresia witha ventricular septal defect and major aortopulmonary collateral arteries is an extremely rare congenital disorder characterized by a high risk of maternal mortality. We present the case of a 24-year-old primigravid woman with uncorrected pulmonary atresia, ventricular septal defect and major aortopulmonary collateral arterieswho presented at 35+5 weeks' gestation. Based on the pathophysiology of the congenital cardiac lesion, cesarean delivery was performed under epidural anesthesia under management by a multidisciplinary team. This report highlights the anesthesia management of a rare uncorrected congenital cardiac lesion for cesarean delivery.Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.
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