Document Detail

Safe management of cesarean section in a patient of Eisenmenger syndrome.
MedLine Citation:
PMID:  23041687     Owner:  NLM     Status:  In-Data-Review    
We report our experience of a 29-year-old female with a complete atrio-ventricular septal defect leading to a single ventricle physiology and Eisenmenger syndrome. The patient successfully underwent spinal anesthesia for cesarean section in the 31 st week of pregnancy. A multidisciplinary approach involving cardiologist, cardiac surgeon, obstetrician, and anesthesiologist was utilized to achieve a safe pregnancy and cesarean for the delivery of the baby. A close clinical assessment is required, especially during the third trimester when the risk of acute right ventricular dysfunction increases. The use of extracorporeal membrane oxygenation (ECMO) (as a bridge to recovery or bridge to salvage) was planned to support oxygenation and circulation in case of acute biventricular dysfunction. The delivery/cesarean section was performed in a cardiac surgery operating room, and to reduce the time-frame for ECMO institution the femoral vessels were exposed surgically before the cesarean section.
Silvia Minicucci; Vincenzo Segala; Claudio Verdecchia; Piero Sismondi; Riccardo Casabona; Fabrizio Sansone
Related Documents :
15840457 - Studies on plasmodium falciparum isotypic antibodies and numbers of il-4 and ifn-gamma ...
24447367 - Is thrombophilia associated with placenta-mediated pregnancy complications? a prospecti...
20976217 - Cost-effectiveness of intermittent preventive treatment of malaria in pregnancy in sout...
24029867 - Hypertension in pregnancy is associated with elevated c-reactive protein levels later i...
16669917 - Oligozoospermia: recent prognosis and the outcome of 73 pregnancies in oligozoospermic ...
24592927 - Luteinizing hormone contributes to fetal tolerance by regulating adaptive immune respon...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of cardiac anaesthesia     Volume:  15     ISSN:  0974-5181     ISO Abbreviation:  Ann Card Anaesth     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815987     Medline TA:  Ann Card Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  296-8     Citation Subset:  IM    
Division of Cardiac Surgery, Mauriziano Umberto I Hospital, Turin, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Understanding traumatic blunt cardiac injury.
Next Document:  Anesthetic management of congenital broncho-esophageal fistula in an adult.