Regional anaesthesia with a subarachnoid microcatheter for caesarean section in a parturient with aortic stenosis.
We present a woman in her first pregnancy, with known aortic stenosis prior to conception, who successfully underwent regional anaesthesia for an elective Caesarean section using a subarachnoid microcatheter. The anaesthetic management of patients with aortic stenosis requiring noncardiac surgery is a complex and contentious matter, particularly when the situation is compounded by the physiological changes accompanying pregnancy and delivery. This is the first reported use of a subarachnoid microcatheter in such a patient. The choice of technique is discussed and compared with other options for providing anaesthesia.
Pittard
A
A
Academic Unit of Anaesthesia, Leeds General Infirmary, UK.
Vucevic
M
M
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000295:instrumentation / Q000379:methods*; D000775:Anesthesia, Spinal / Q000295:instrumentation / Q000379:methods*; D001024:Aortic Valve Stenosis; D002406:Catheterization, Peripheral / Q000295:instrumentation; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D013346:Subarachnoid Space