Anaesthetic management of aortic coarctation in pregnancy

Walker, Elinor; Malins, A F

doi:10.1016/j.ijoa.2004.03.001

Cited by 20 publications

(17 citation statements)

References 15 publications

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“…7 Our study is the largest series in the literature focusing on method of anesthesia for parturients with congenital heart disease. Although anecdotal case reports of anesthetic regimens for pregnant women with specific types of congenital heart disease are available, [10][11][12] no agreement exists on the optimal anesthetic management technique for maternal and neonatal outcomes. Recently, an extensive review article was published to provide a practical guide to the anesthetic management of pregnant women with congenital heart disease.…”

Section: Discussionmentioning

confidence: 99%

A retrospective survey of adverse maternal and neonatal outcomes for parturients with congenital heart disease

Hidano

Uezono

Terui

2011

International Journal of Obstetric Anesthesia

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Section: Discussionmentioning

confidence: 99%

A retrospective survey of adverse maternal and neonatal outcomes for parturients with congenital heart disease

Hidano

Uezono

Terui

2011

International Journal of Obstetric Anesthesia

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“…Walker et al have reported use of epidural and CSEA in these patients. [8] Sherer also reported use of CSEA in these patients. [9] We chose to use NIBP monitoring for right upper limb and lower limb blood pressure was monitored using left femoral invasive arterial line monitoring.…”

Section: Discussionmentioning

confidence: 85%

Coarctation of the Aorta in Caesarean section: An Anaesthetic challenge

Tadwalkar¹,

Ghodekar²

2017

AIMDR

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Coarctation of the aorta is a narrowing of the aorta resulting from an abnormal junction of the aortic isthmus and the arterial duct. It can present in neonatal period, early childhood or in adulthood and accounts for 5% of all congenital cardiac defects. The maternal mortality for patients with uncorrected coarctation of the aorta is 3% to 9% and fetal mortality may be as high as 20%. A thorough understanding of impact of pregnancy on the heamodynamic response to the patient's cardiac lesion is required for successful anesthetic management. A meticulous approach is needed when planning anaesthesia for Caesarean section in such a case as associated haemodynamic effects of both general and regional anaesthesia can have serious and deleterious effects on both the mother and newborn. We present successful anaesthetic management under graded epidural anaesthesia for elective Caesarean section in a case of unrepaired coarctation of the aorta.

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“…Seven additional cases have been published since 1990. The most frequently encountered problems were hypertension and miscarriage; no endocarditis or aneurysm was described [4][5][6][7][8][9][10].…”

Section: Commentmentioning

confidence: 99%

A Pregnant Patient with Native Aortic Coarctation and Aneurysm

Ruys¹

2014

aorta

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Uncorrected coarctation is rare and is known to cause hypertension in adult patients. Retrospective observational studies showed hypertension and occasionally aortic dissection to be the principal risks during pregnancy after correction of aortic coarctation. We present a case of a patient with known hypertension, who presented at 32 weeks of gestation. A saccular aortic aneurysm of 4.5 ؋ 8.8 cm was found by echocardiogram and confirmed with a chest X-ray. She delivered a healthy girl by caesarean section. After delivery a CTangiography was performed showing a stable situation. Two months postpartum she was successfully operated. We present images of echocardiography, X-ray, CT and the surgical procedure. We discus the literature on native coarctation and the management choices in this difficult case.

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Anaesthetic management of aortic coarctation in pregnancy

Cited by 20 publications

References 15 publications

A retrospective survey of adverse maternal and neonatal outcomes for parturients with congenital heart disease

A retrospective survey of adverse maternal and neonatal outcomes for parturients with congenital heart disease

Coarctation of the Aorta in Caesarean section: An Anaesthetic challenge

A Pregnant Patient with Native Aortic Coarctation and Aneurysm

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