title: [General anaesthesia for Caesarean section in a patient with pulmonary atresia and an intact intraventricular septum].
abstract: We report the case of a 22-year-old primigravida patient presenting pulmonary atresia with intact ventricular septum, a rare congenital heart disease. Caesarean delivery was performed at 32 weeks of gestation because of moderate maternal function deterioration and foetal growth restriction. General anaesthesia was used because of the presence of lumbar Harrington rods. The administration of etomidate, celocurine and a continuous perfusion of remifentanil right from induction ensured haemodynamic stability and a rapid emergence and recovery.
authors.affiliation: Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54042 Nancy cedex, France. anesthesie@maternite.chu-nancy.fr
authors.forename: F
authors.initials: F
authors.lastname: Vial
authors.forename: F
authors.initials: F
authors.lastname: Bayoumeu
authors.forename: F
authors.initials: F
authors.lastname: Marçon
authors.forename: R
authors.initials: R
authors.lastname: Dupays
authors.forename: M
authors.initials: M
authors.lastname: Chillet-Mion
authors.forename: M C
authors.initials: MC
authors.lastname: Laxenaire
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D002585:Cesarean Section; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D016343:Monitoring, Intraoperative; D011247:Pregnancy; D018633:Pulmonary Atresia / Q000503:physiopathology*