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Case Studies | Anaesthesiology | India | Volume 13 Issue 8, August 2024 | Rating: 4.7 / 10
Anaesthesia for Coarctation of Aorta and Aortic Valve Replacement in Pregnancy - A Challenge
Dr. Priyanka Praphullachandra Khondalay, Dr Lulu Fatema Vali
Abstract: Cardiac disease can be encountered during pregnancy with the frequency being 1% to 2% of all pregnant women. Because of the high foetal and relative maternal mortality during surgery, medical management is the first line of treatment. Nevertheless, when medical treatment fails, cardiac surgery becomes necessary. Since many of these deaths occur during or immediately following parturition, heart disease is of special importance to the anesthesiologist. This importance arises from the fact that drugs used for preventing or relieving pain during labor and delivery exert a major influence ? for better or for worse ? on the prognosis of the mother and newborn. Properly administered anesthesia and analgesia can contribute to the reduction of maternal and neonatal mortality and morbidity. We present the anaesthetic management of a case of Coarctation of aorta with Aortic valve disease in a pregnant woman undergoing surgery. Where patient underwent Coarctation of aorta repair during 20th week of gestation in the first sitting, Aortic valve replacement surgery in the second siiting 2 weeks after first surgery, followed by Elective cesarian section at term during 36 weeks of geststaion.
Keywords: Open heart surgery, Pregnancy, Fetus, Repeat sternotomy, Carctation of aorta, aortic valve replacement, elective cesarian surgery
Edition: Volume 13 Issue 8, August 2024
Pages: 1528 - 1530