Caesarean section under spinal and epidural anesthesia in complete atrioventricular block without a pacemaker: a rare case report
No Thumbnail Available
Date
2023-11
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Complete heart block (CHB) during pregnancy is rarely encountered. Management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist, and neonatologist. Treatment varies from medical management to temporary or permanent pacemaker insertion. Complete atrioventricular block comprises complete absence of AV conduction - none of the supraventricular impulses are conducted to the ventricles. Perfusing rhythm is maintained by a junctional or ventricular escape rhythm. Typically, the patient will have severe bradycardia with independent atrial and ventricular rates. The incidence is 1 in 15,000 to 20,000 live births. We successfully managed caesarean section in a pregnancy with complete atrioventricular block under spinal and epidural anesthesia without a pacemaker. Asymptomatic pregnant women with congenital complete atrioventricular block can tolerate caesarean section under spinal and epidural anesthesia without a pacemaker.
Description
Keywords
Complete atrioventricular block, Bradycardia, Caesarean section, Pregnancy
Citation
Mishra Vineet V., Rane Priyanka H., Choudhary Sumesh, Shah Kunur N.. Caesarean section under spinal and epidural anesthesia in complete atrioventricular block without a pacemaker: a rare case report . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Nov; 12(11): 3382-3385