Anesthetic management for emergency cesarean section and aortic valve replacement in a parturient with severe bicuspid aortic valve stenosis and congestive heart failure.

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dc.contributor.authorDatt, Vishnu
dc.contributor.authorTempe, Deepak K
dc.contributor.authorVirmani, Sanjula
dc.contributor.authorDatta, Devesh
dc.contributor.authorGarg, Mukesh
dc.contributor.authorBanerjee, Amit
dc.contributor.authorTomar, Akhlesh S
dc.date.accessioned2012-07-13T08:54:05Z
dc.date.available2012-07-13T08:54:05Z
dc.date.issued2010-01
dc.description.abstractAsymptomatic women with mild aortic stenosis (AS) and normal left ventricular functions can successfully carry pregnancy to term and have vaginal deliveries. However, severe AS (valve area <1.0cm 2 ) can result in rapid clinical deterioration and maternal and fetal mortality. So, these patients require treatment of AS before conception or during pregnancy preferably in the second trimester. In suitable patients percutaneous balloon aortic valvutomy appears to carry lower risk. It can also be used as a palliative procedure allowing deferral of aortic valve replacement until after delivery. The present patient had severe critical AS with congestive heart failure that was refractory to medical therapy and the fetus was viable (>28wks). So, combined lower segment cesarean section and aortic valve replacement were performed under opioid based general anesthesia technique to reduce the cardiac morbidity and mortality.en_US
dc.identifier.citationDatt Vishnu, Tempe Deepak K, Virmani Sanjula, Datta Devesh, Garg Mukesh, Banerjee Amit, Tomar Akhlesh S. Anesthetic management for emergency cesarean section and aortic valve replacement in a parturient with severe bicuspid aortic valve stenosis and congestive heart failure. Annals of Cardiac Anaesthesia. 2010 Jan; 13(1): 64-68.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/139496
dc.language.isoenen_US
dc.source.urihttps://www.annals.in/article.asp?issn=0971-9784;year=2010;volume=13;issue=1;spage=64;epage=68;aulast=Datten_US
dc.subjectAortic stenosisen_US
dc.subjectpregnancyen_US
dc.subjectcongestive heart failureen_US
dc.subjectcesarean sectionen_US
dc.subjectaortic valve replacementen_US
dc.subjectgeneral anesthesiaen_US
dc.subject.meshAdult
dc.subject.meshAnesthesia, Obstetrical
dc.subject.meshAortic Valve --surgery
dc.subject.meshAortic Valve Stenosis --surgery
dc.subject.meshCesarean Section
dc.subject.meshEmergencies
dc.subject.meshFemale
dc.subject.meshHeart Failure --surgery
dc.subject.meshHumans
dc.subject.meshPregnancy
dc.subject.meshPregnancy Complications, Cardiovascular --surgery
dc.titleAnesthetic management for emergency cesarean section and aortic valve replacement in a parturient with severe bicuspid aortic valve stenosis and congestive heart failure.en_US
dc.typeArticleen_US
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