Successful vaginal delivery for a parturient with complete aortic coarctation.
This report describes the case of a parturient with complete coarctation of the aorta that was diagnosed during pregnancy. The use of invasive monitoring and the choice of labor analgesia for vaginal delivery are reviewed. Management of patients with complex cardiac anomalies requires consultation among cardiologist, obstetricians, and anesthesiologists to ensure good outcome for the mother and baby.
Zwiers
William J
WJ
School of Nurse Anesthesia, University of Pittsburgh School of Nursing, Pittsburgh, PA 15213, USA.
Blodgett
Todd M
TM
Vallejo
Manuel C
MC
Finegold
Helene
H
D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis; D001262:Atenolol / Q000627:therapeutic use; D002045:Bupivacaine; D002406:Catheterization, Peripheral; D036861:Delivery, Obstetric; D005260:Female; D005283:Fentanyl; D006337:Heart Murmurs / Q000150:complications; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000503:physiopathology; D008991:Monitoring, Physiologic; D007744:Obstetric Labor Complications / Q000517:prevention & control*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011256:Pregnancy Outcome
D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D001262:Atenolol; D005283:Fentanyl; D002045:Bupivacaine