title: Anesthesia for cesarean section in a patient with isolated unilateral absence of a pulmonary artery.
abstract: OBJECTIVE
  Congenital unilateral absence of a pulmonary artery (UAPA) is a rare anomaly. Although there are several reports regarding pregnancy in patients with unilateral absence of a pulmonary artery, there are no case reports describing anesthesia for Cesarean section in a patient with unilateral absence of a pulmonary artery.
  
  
  METHODS
  We present a patient with unilateral absence of a pulmonary artery who underwent Cesarean sections twice at the ages of 24 and 26 years under spinal anesthesia for surgery and epidural analgesia for postoperative pain relief. Both times, spinal anesthesia and epidural analgesia enabled successful anesthesia management without the development of either pulmonary hypertension or right heart failure.
  
  
  CONCLUSIONS
  Spinal anesthesia combined with epidural analgesia is a useful anesthetic method for a Cesarean section in patients with unilateral absence of a pulmonary artery.
authors.affiliation: Nihon University School of Medicine, Department of Anesthesiology, Tokyo, Japan.
authors.forename: Tomonori
authors.initials: T
authors.lastname: Furuya
authors.affiliation: Nihon University School of Medicine, Department of Anesthesiology, Tokyo, Japan. Electronic address: ryoiida03@gmail.com.
authors.forename: Ryoji
authors.initials: R
authors.lastname: Iida
authors.affiliation: Nihon University School of Medicine, Department of Anesthesiology, Tokyo, Japan.
authors.forename: Jyumpei
authors.initials: J
authors.lastname: Konishi
authors.affiliation: Nihon University School of Medicine, Department of Anesthesiology, Tokyo, Japan.
authors.forename: Jitsu
authors.initials: J
authors.lastname: Kato
authors.affiliation: Nihon University School of Medicine, Department of Anesthesiology, Tokyo, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D000328:Adult; D000577:Amides; D015360:Analgesia, Epidural / Q000379:methods; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical / Q000379:methods; D000775:Anesthesia, Spinal / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D002585:Cesarean Section / Q000379:methods*; D017604:Cesarean Section, Repeat / Q000379:methods; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives; D007262:Infusions, Intravenous; D008874:Midazolam / Q000008:administration & dosage; D010149:Postoperative Pain / Q000517:prevention & control; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011651:Pulmonary Artery / Q000002:abnormalities*; D000077212:Ropivacaine; D055815:Young Adult
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D000077212:Ropivacaine; D008874:Midazolam; D002045:Bupivacaine
keywords: Anestesia; Anesthesia; Ausência unilateral de uma artéria pulmonar; Cesarean section; Cesariana; Gravidez; Pregnancy; Unilateral absence of a pulmonary artery