title: Successful vaginal delivery for a parturient with complete aortic coarctation.
abstract: 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.
authors.affiliation: School of Nurse Anesthesia, University of Pittsburgh School of Nursing, Pittsburgh, PA 15213, USA.
authors.forename: William J
authors.initials: WJ
authors.lastname: Zwiers
authors.forename: Todd M
authors.initials: TM
authors.lastname: Blodgett
authors.forename: Manuel C
authors.initials: MC
authors.lastname: Vallejo
authors.forename: Helene
authors.initials: H
authors.lastname: Finegold
mesh_terms: 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
chemical_list: D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D001262:Atenolol; D005283:Fentanyl; D002045:Bupivacaine