L. Abreu - Academia.edu (original) (raw)

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Pregnant patients with Congenital heart disease (CHD) make for a unique challenge to the obstetri... more Pregnant patients with Congenital heart disease (CHD) make for a unique challenge to the obstetrician and anesthesiologist, when the patient has to undergo emergency cesarean section. Managing high-risk parturient requires a thorough understanding of the hemodynamic changes of pregnancy, its effect on the patient and physiology of the abnormal heart. Beyond this, our patient presented with placenta previa and vaginal bleeding. This combination of factors makes this case a worst-case scenario for any anesthesiologist. There is limited data in the literature on these combination factors. CHD is becoming the most common source of cardiac problems in pregnant patients but non-corrected cardiac defect patient are rare cases in the obstetric department. In adult population, chronic non-palliated congenital heart lesions present new difficult situations for the anesthesiologist working with high-risk obstetric anesthesia. This case report makes a successful cesarean section in a CHD patient in emergency condition.

Pregnant patients with Congenital heart disease (CHD) make for a unique challenge to the obstetri... more Pregnant patients with Congenital heart disease (CHD) make for a unique challenge to the obstetrician and anesthesiologist, when the patient has to undergo emergency cesarean section. Managing high-risk parturient requires a thorough understanding of the hemodynamic changes of pregnancy, its effect on the patient and physiology of the abnormal heart. Beyond this, our patient presented with placenta previa and vaginal bleeding. This combination of factors makes this case a worst-case scenario for any anesthesiologist. There is limited data in the literature on these combination factors. CHD is becoming the most common source of cardiac problems in pregnant patients but non-corrected cardiac defect patient are rare cases in the obstetric department. In adult population, chronic non-palliated congenital heart lesions present new difficult situations for the anesthesiologist working with high-risk obstetric anesthesia. This case report makes a successful cesarean section in a CHD patient in emergency condition.

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