ANESTHESIA FOR CAESAREAN SECTION IN A PATIENT WITH PULMONARY HYPERTENSION AFTER CORRECTED COMPLEX HEART DEFECT
DOI:
https://doi.org/10.55302/10kd0g43Keywords:
anesthetic approach, caesarean section, pulmonary hypertensionAbstract
Advances in medicine, especially in the treatment of congenital heart disease, are making it possible for many women with severe congenital heart disease to reach childbearing age and, of course, if they want to become pregnant and become mothers.
3-10% of those registered with congenital heart disease will develop pulmonary hypertension, which is always a poor prognostic sign and has particularly high mortality and morbidity, especially when undergoing operative treatment and anesthesia.
We present a case of successful anesthetic management for the caesarean section in a patient with pulmonary hypertension after a complex congenital heart defect corrected in childhood. The anesthesiology approach is always challenging and requires an individual and multidisciplinary approach to each individual patient.
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1. Baumgartner H, Backer J, Babu-Narayan S, et al. ESC Guidelines for the management of adult congenital heart disease. European Heart Journal, 2021;42(6), 7:563–645.
2. American College of Obstetricians and Gynecologists’ Presidential Task Force on Pregnancy and Heart Disease and Committee on Practice Bulletins—Obstetrics. ACOG Practice Bulletin No. 212: Pregnancy and Heart Disease. Obstet Gynecol. 2019;133(5):e320-e356.
3. Van Riel AC, Schuuring MJ, van Hessen ID, et al. Contemporary prevalence of pulmonary arterial hypertension in adult congenital heart disease following the updated clinical classification. Int J Cardiol. 2014 Jun;174(2):299-305.
4. Simonneau G, Montani D, Celermajer DS, et al. Haemodynamic definitions and updated clinical classification of pulmonary hypertension. Eur Respir J. 2019;53(1).
5. Wood C, Balciunas M, Lordan J, Mellor A. Perioperative Management of Pulmonary Hypertension. a Review. J Crit Care Med. 2021;7(2):83–96.
6. Meng ML, Landau R, Viktorsdottir O, et al. Pulmonary Hypertension in Pregnancy: A Report of 49 Cases at Four Tertiary North American Sites. Obstet Gynecol. 2017;129(3):511-520.
7. Martin SR, Edwards A. Pulmonary hypertension and pregnancy. Obstet Gynecol. 2019;134:974-87.
8. Bedard E, Dimopoulos K, Gatzoulis MA. Has there been any progress made on pregnancy outcomes among women with pulmonary arterial hypertension? Eur Heart J. 2009;30(3):256-65.
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