Initial non-opioid based anesthesia in a parturient having severe aortic stenosis undergoing cesarean section with aortic valve replacement.
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Date
2015-01
Journal Title
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Abstract
Pregnancy in presence of severe aortic stenosis (AS) causes worsening of symptoms needing further
intervention. In the advanced stages of pregnancy, some patients may even require aortic valve
replacement (AVR) and cesarean delivery in the same sitting. Opioid based general anesthesia for combined
lower segment cesarean section (LSCS) with AVR has been described. However, the use of opioid may lead to
fetal morbidity and need of respiratory support for the baby. We describe successful anesthetic management
for LSCS with AVR in a >33 week gravida with severe AS and congestive heart failure. We avoided opioids
till delivery of the baby AVR; the delivered neonate showed a normal APGAR score.
Description
Keywords
Anesthesia, Aortic stenosis, Aortic valve replacement, Cesarean section, Pregnancy
Citation
Podder Subrata, Kumar Ajay, Mahajan Sachin, Saha Pradip Kumar. Initial non-opioid based anesthesia in a parturient having severe aortic stenosis undergoing cesarean section with aortic valve replacement. Annals of Cardiac Anaesthesia. 2015 Jan-Mar ; 18(1): 98-100.