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KMID : 0356920160690060632
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Korean Journal of Anesthesiology
2016 Volume.69 No. 6 p.632 ~ p.634
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Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle
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Stefano Catarci
Fabio Sbaraglia
Bruno Antonio Zanfini
Salvatore Vagnoni
Luciano Frassanito
Gaetano Draisci
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Abstract
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The number of women with major congenital heart defects reaching reproductive age is likely increasing. We herein describe the anesthetic management of a 33-year-old woman at 37 gestational weeks with a history of Glenn surgery who was undergoing an urgent cesarean section due to pathological cardiotocography. Combined spinal-epidural anesthesia was the most suitable technique for urgent cesarean section in our patient with a single ventricle and phasic flow in the pulmonary artery because it provided rapid-onset anesthesia with negligible hemodynamic effects.
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KEYWORD
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Glenn circulation, Major congenital heart defect, Obstetric anesthesia
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