Document Detail


The anesthetic management for cesarean delivery in a patient with Shone's syndrome.
MedLine Citation:
PMID:  18931228     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Shone's syndrome is a rare congenital cardiac condition that consists of up to four obstructive left-sided cardiac lesions. We report a 17-yr-old nullipara with Shone's syndrome who presented for cesarean delivery. She had mild mitral stenosis and mild left ventricular outflow tract obstruction. Epidural anesthesia was attempted, but the patient developed severe hypotension associated with fetal bradycardia necessitating immediate cesarean delivery under general anesthesia. The peripartum anesthetic and management considerations for these patients are discussed.
Authors:
Kathleen Sachse; Medhat Hannallah
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  107     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-20     Completed Date:  2008-11-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1652-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, Georgetown University School of Medicine, Washington, DC, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aortic Coarctation / complications*
Apgar Score
Cesarean Section / methods*
Female
Humans
Infant, Newborn
Live Birth
Mitral Valve Stenosis / complications
Pregnancy
Pregnancy Complications / surgery*
Pregnancy Outcome
Ventricular Dysfunction, Left / complications

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


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