Successful vaginal delivery for a parturient with complete aortic coarctation

This report describes the case of a parturient with complete coarctation of the aorta that was diagnosed during pregnancy. The use of invasive monitoring and the choice of labor analgesia for vaginal delivery are reviewed. Management of patients with complex cardiac anomalies requires consultation a...

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Veröffentlicht in:	Journal of clinical anesthesia 2006-06, Vol.18 (4), p.300-303
Hauptverfasser:	Zwiers, William J., Blodgett, Todd M., Vallejo, Manuel C., Finegold, Helene
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Analgesia, Epidural Analgesia, Obstetrical Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Intravenous Anesthetics, Local Aortic coarctation Aortic Coarctation - complications Aortic Coarctation - diagnosis Atenolol - therapeutic use Biological and medical sciences Births Bupivacaine Catheterization, Peripheral Cesarean section Childbirth & labor Delivery, Obstetric Female Fentanyl Heart Murmurs - complications Humans Hypertension - drug therapy Hypertension - physiopathology Medical sciences Monitoring, Physiologic Obstetric Labor Complications - prevention & control Obstetrics Parturient Pregnancy Pregnancy Complications, Cardiovascular Pregnancy Outcome Vaginal delivery Veins & arteries
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Beschreibung
Zusammenfassung:	This report describes the case of a parturient with complete coarctation of the aorta that was diagnosed during pregnancy. The use of invasive monitoring and the choice of labor analgesia for vaginal delivery are reviewed. Management of patients with complex cardiac anomalies requires consultation among cardiologist, obstetricians, and anesthesiologists to ensure good outcome for the mother and baby.
ISSN:	0952-8180 1873-4529
DOI:	10.1016/j.jclinane.2005.10.004