Anesthetic management of labor in a patient with dextrocardia, congenitally corrected transposition, Wolff-Parkinson-White syndrome, and congestive heart failure.
Labor and delivery greatly stress the cardiovascular system. In this patient with underlying congenital heart disease and congestive heart failure, hemodynamic stability was maintained with a combination of lumbar epidural and caudal epidural anesthesia.
Sellers
J D
JD
Department of Anesthesiology, Ohio State University Hospitals, Columbus 43210.
Block
F E
FE
McDonald
J S
JS
D000328:Adult; D015360:Analgesia, Epidural; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section / Q000379:methods*; D003914:Dextrocardia; D005260:Female; D006330:Heart Defects, Congenital; D006333:Heart Failure; D006801:Humans; D008991:Monitoring, Physiologic; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D014188:Transposition of Great Vessels; D014927:Wolff-Parkinson-White Syndrome