Cesarean delivery in a parturient with a left ventricular assist device |
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| Affiliation: | Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA;Department of Anaesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Mohammed V University, Rabat, Morocco;Duke University Hospital, Durham, NC, USA;Duke University Medical Center, Department of Anesthesiology, Durham, NC 27710, USA;Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY, USA;Department of Anaesthesiology, Intensive Care and Perioperative Medicine, Caen Normandy University Hospital, University of Caen Normandy Medical School, Caen, France;Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA;Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, USA |
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| Abstract: | Left ventricular assist devices are implanted pumps designed to treat patients with heart failure, and in some cases, to be a bridge to transplantation for patients who qualify. The preconception presence of a left ventricular assist device is a relative contraindication to pregnancy. Few cases have been published regarding the anesthetic management of parturients with left ventricular assist devices. We present the care of a 24-year-old gravida seven, para two woman who presented for induction of labor at gestational age 34 and 6/7 weeks. Her medical history was significant for the presence of a left ventricular assist device, inserted due to heart failure associated with polysubstance abuse. To our knowledge, this is the first description of successful cesarean delivery under neuraxial anesthesia of a parturient with a left ventricular assist device. |
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| Keywords: | Left ventricular assist device LVAD Pregnancy Neuraxial anesthesia Epidural Cesarean delivery |
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