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KMID : 0356920210740040342
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Korean Journal of Anesthesiology
2021 Volume.74 No. 4 p.342 ~ p.349
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Anesthetic management of a parturient with Shone’s syndrome -a case report with review of literature-
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Bhatia Kailash
Eccles Jennifer
Meessala Dinesh. K.
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Abstract
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Background: Shone’s syndrome is a rare complex congenital cardiac condition, characterized by a supra-valvular mitral ring, parachute deformity of the mitral valve, aortic stenosis, and coarctation of the aorta.
Case: A 26-year-old parturient with partial Shone’s syndrome presented to our delivery unit in pulmonary edema. She underwent a scheduled cesarean section performed under a combined spinal-epidural anesthetic at 33 weeks. She had multidisciplinary input from the cardiac, obstetric, and anesthetic teams, which led to a good outcome. A review of the five published case reports of Shone’s syndrome in pregnancy is presented along with key findings.
Conclusions: Our case report and the review highlight the successful use of combined spinal-epidural anesthetic and provides guidance to the multidisciplinary team on the varied presentation and the optimum management of women with Shone’s syndrome during the peripartum period.
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KEYWORD
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Aortic coarctation, Aortic stenosis, Cesarean section, Epidural anesthesia, Mitral valve stenosis, Spinal anesthesia
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