AORTIC-STENOSIS, CESAREAN DELIVERY, AND EPIDURAL-ANESTHESIA

被引：22

作者：

BRIAN, JE

SEIFEN, AB

CLARK, RB

ROBERTSON, DM

QUIRK, JG

机构：

[1] Departments of Anesthesiology and Obstetrics/Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR

来源：

JOURNAL OF CLINICAL ANESTHESIA | 1993年 / 5卷 / 02期

关键词：

ANESTHESIA; EPIDURAL; AORTIC VALVE STENOSIS; CESAREAN SECTION; HEMODYNAMICS; MONITORING; PREGNANCY;

D O I：

10.1016/0952-8180(93)90145-5

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A 23-year-old female was referred to the University of Arkansas for Medical Sciences at 32 weeks' gestation with a history of aortic stenosis following aortic valve replacement. Evaluation by echocardiography showed an approximately 90 mmHg transvalvular pressure gradient. Pregnancy progressed to 36 weeks' gestation without problem, at which time the patient underwent cesarean section with lumbar epidural anesthesia. Invasive hemodynamic monitors were used to assess cardiac performance and as a guide for anesthetic management. The impact of aortic stenosis on pregnancy is discussed, as are management aspects of lumbar epidural anesthesia in such patients.

引用

页码：154 / 157

页数：4

共 18 条

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