Anesthetic management for cesarean delivery in a patient with uncorrected pulmonary atresia, ventricular septal defect and major aortopulmonary collateral arteries

作者：Gang, S. P.; Fang, K. Y.^*; Ma, Y.; Zhang, F. X.; Xiang, D. K.; Liu, X. L.; Wang, R. P.; Chen, D. D.; Ma, X. W.

来源：International Journal of Obstetric Anesthesia, 2018, 36: 125-129.

DOI：10.1016/j.ijoa.2018.05.009

• Cardiac disease
• Congenital
• Pulmonary atresia
• Ventricular septal defect
• Aortopulmonary collateral arteries
• Cesarean delivery
• Epidural anesthesia

Pulmonary atresia with a ventricular septal defect and major aortopulmonary collateral arteries is an extremely rare congenital disorder characterized by a high risk of maternal mortality. We present the case of a 24-year-old primigravid woman with uncorrected pulmonary atresia, ventricular septal defect and major aortopulmonary collateral arteries who presented at 35+5 weeks' gestation. Based on the pathophysiology of the congenital cardiac lesion, cesarean delivery was performed under epidural anesthesia under management by a multidisciplinary team. This report highlights the anesthesia management of a rare uncorrected congenital cardiac lesion for cesarean delivery.

• 出版日期2018-11
• 单位贵州省人民医院