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Canadian Journal of Anesthesia, Vol 45, 488-490, Copyright © 1998 by Canadian Anesthesiologists' Society

ARTICLES

Combined spinal epidural anaesthesia in a primigravida with valvular heart disease

T VanHelder and KG Smedstad
Department of Anaesthesia, McMaster University, Ontario, Canada.

PURPOSE: This is the first report describing combined spinal epidural anaesthesia for labour and unexpected Caesarean section in a patient with mitral and aortic stenosis and insufficiency. CLINICAL FEATURES: The patient was a 30-yr-old GIPO with a history of rheumatic fever. She had moderate stenosis and insufficiency of the mitral and aortic valves. Combined spinal epidural anaesthesia was used throughout labour and subsequent Caesarean section. The patient remained haemodynamically stable throughout the procedure. CONCLUSION: Carefully planned regional anaesthesia was safely used for labour and operative delivery in this parturient with mitral and aortic valvular disease.


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 SEMIN CARDIOTHORAC VASC ANESTHHome page
A. J. Mittnacht, M. Fanshawe, and S. Konstadt
Anesthetic Considerations in the Patient With Valvular Heart Disease Undergoing Noncardiac Surgery
Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2008; 12(1): 33 - 59.
[Abstract] [PDF]


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Copyright © 1998 by the Canadian Anesthesiologists' Society.