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Journal of Obstrectic Anaesthesia and Critical Care
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CASE REPORT
Year : 2018  |  Volume : 8  |  Issue : 1  |  Page : 50-53

Management of emergency caesarean section in a patient with decompensated critical aortic stenosis


Selwyn Crawford Department of Anaesthesia, Birmingham Women's Hospital, Birmingham Women's and Children's NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, United Kingdom

Correspondence Address:
Dr. Andrew C Leatherbarrow
Selwyn Crawford Department of Anaesthesia, Birmingham Women's Hospital, Birmingham Women's and Children's NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham - B15 2TG
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacc.JOACC_38_17

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Increasing numbers of congenital heart disease patients are now surviving to child bearing age. This complex patient cohort present a great challenge to the obstetric anaesthetist and multidisciplinary teams. This report describes a rare case of a patient undergoing emergency caesarean section at 31 weeks gestation due to decompensated critical congenital aortic stenosis. The physiological effects of pregnancy in patients with aortic stenosis are discussed along with principles of managing anaesthesia for caesarean section in the presence of this cardiac lesion.


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