Anaesthetic management for caesarean section in a parturient with uncorrected coarctation of the aorta.
We present the case of a woman who refused RMI examination to diagnose a coarctation of her aorta before her third pregnancy. At term of 34 weeks of gestation the caesarean delivery was scheduled under spinal-epidural anaesthesia. Despite the use of a titrated regional anaesthesia, an important arterial hypotension occurred, restored with low doses of vasopressive agents.
Bourgeade
F
F
Pôle URAD, service d'anesthésie réanimation, hôpital Maison-Blanche, 45 rue Cognacq-Jay, Reims, France.
Malinovsky
J-M
JM
D000328:Adult; D000773:Anesthesia, Obstetrical; D001017:Aortic Coarctation / Q000628:therapy; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy