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Anaesthetic management of a parturient with pulmonary stenosis and aortic incompetence for Caesarean section
Authors:Campbell N  Rosaeg O P  Chan K L
Affiliation:1 Department of Anesthesiology, The Ottawa Hospital—Civic Campus and 2 The Adult Congenital Heart Clinic, University of Ottawa, Ottawa, Canada
Abstract:
Anaesthetic management of Caesarean section in a parturientwith severe pulmonary stenosis and aortic regurgitation is described.The valvular sequelae resulted from previous unsuccessful surgicalcorrection (Ross procedure) of congenital aortic stenosis. Thiscase demonstrates the importance of multi-disciplinary assessmentand careful anaesthetic planning, to avoid deterioration inperioperative cardiac performance in parturients with complexvalvular disease. Br J Anaesth 2003; 90: 241–3
Keywords:anaesthesia, obstetric   anaesthetic techniques, epidural   heart, congenital defects
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