A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis
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 parturi...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2015/489157 |
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| author | Kalpana Tyagaraj David A. Gutman Lynn Belliveau Adnan Sadiq Alok Bhutada Dennis E. Feierman |
| author_facet | Kalpana Tyagaraj David A. Gutman Lynn Belliveau Adnan Sadiq Alok Bhutada Dennis E. Feierman |
| author_sort | Kalpana Tyagaraj |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b67cfb76a1db4a8ba507bfe060514d40 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-b67cfb76a1db4a8ba507bfe060514d402025-02-03T01:02:37ZengWileyCase Reports in Anesthesiology2090-63822090-63902015-01-01201510.1155/2015/489157489157A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic StenosisKalpana Tyagaraj0David A. Gutman1Lynn Belliveau2Adnan Sadiq3Alok Bhutada4Dennis E. Feierman5Department of Anesthesiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USADepartment of Anesthesiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USADepartment of Anesthesiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USADepartment of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USADepartment of Neonatology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USADepartment of Anesthesiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USAIn 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.http://dx.doi.org/10.1155/2015/489157 |
| spellingShingle | Kalpana Tyagaraj David A. Gutman Lynn Belliveau Adnan Sadiq Alok Bhutada Dennis E. Feierman A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis Case Reports in Anesthesiology |
| title | A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis |
| title_full | A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis |
| title_fullStr | A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis |
| title_full_unstemmed | A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis |
| title_short | A Multidisciplinary Approach to Anesthetic Management of a Parturient with Severe Aortic Stenosis |
| title_sort | multidisciplinary approach to anesthetic management of a parturient with severe aortic stenosis |
| url | http://dx.doi.org/10.1155/2015/489157 |
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