A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis
Joint Authors
Tyagaraj, Kalpana
Gutman, David A.
Belliveau, Lynn
Sadiq, Adnan
Feierman, Dennis E.
Bhutada, Alok
Source
Case Reports in Anesthesiology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
In order to optimize anesthetic management and avoid adverse maternal and fetal outcomes, a clear understanding of the changes in cardiovascular physiology that occur during pregnancy is paramount.
The effects of normal gestation on the cardiovascular system are particularly significant in a parturient with cardiac valvular pathology.
We present a case of a 27-year-old G2P0 at 37 weeks with a past medical history of diabetes, macrosomia, congenital bicuspid aortic valve with severe stenosis (valve area 0.7 cm2) who was scheduled for elective C-section.
A multidisciplinary discussion involving cardiologists, cardiac surgeons, obstetric surgeons, neonatal intensivists, perfusion staff, anesthesiologists, and nursing staff was held to formulate a plan for the perioperative management of this parturient.
Also, contingency plans were formulated and discussed with the care providers, in the event of acute decompensation of the mother and baby and possible need for emergency aortic valvuloplasty and/or aortic valve replacement.
American Psychological Association (APA)
Tyagaraj, Kalpana& Gutman, David A.& Belliveau, Lynn& Sadiq, Adnan& Bhutada, Alok& Feierman, Dennis E.. 2015. A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis. Case Reports in Anesthesiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058064
Modern Language Association (MLA)
Tyagaraj, Kalpana…[et al.]. A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis. Case Reports in Anesthesiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058064
American Medical Association (AMA)
Tyagaraj, Kalpana& Gutman, David A.& Belliveau, Lynn& Sadiq, Adnan& Bhutada, Alok& Feierman, Dennis E.. A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis. Case Reports in Anesthesiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058064
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058064