Document Detail

Anaesthetic management of aortic coarctation in pregnancy.
MedLine Citation:
PMID:  15477059     Owner:  NLM     Status:  MEDLINE    
We report two cases of aortic coarctation in pregnancy. The first was a 20-year-old nulliparous woman who underwent an aortic coarctation repair when she was 23 weeks old and subsequently developed an aneurysm at the site of initial repair. The second was a 20-year-old nulliparous woman with a severe uncorrected congenital aortic coarctation and upper body hypertension, who became pregnant whilst awaiting transcatheter dilatation of the coarctation. Antenatal care involved a multidisciplinary approach with obstetric, anaesthetic and cardiology input. Both parturients were delivered by elective caesarean section. A cautious, incremental regional anaesthetic technique was used, with no associated maternal or neonatal morbidity. Perioperative management focused on minimising haemodynamic disturbances. The management is discussed, together with the potential maternal and fetal complications of aortic coarctation in pregnancy.
E Walker; A F Malins
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  13     ISSN:  0959-289X     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-12     Completed Date:  2005-02-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  266-70     Citation Subset:  IM    
Department of Anaesthesia, Birmingham Women's Hospital, Edgbaston, Birmingham, UK.
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MeSH Terms
Anesthesia, Obstetrical*
Aortic Coarctation / complications*,  pathology
Apgar Score
Breech Presentation
Cesarean Section
Hemodynamics / physiology
Hypertension / complications,  therapy
Infant, Newborn
Magnetic Resonance Imaging
Pain, Postoperative / drug therapy
Postoperative Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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