在一名法洛四联症矫治术后的女性中成功进行了硬膜外麻醉剖宫产。

Successful epidural anesthesia for cesarean delivery in a woman with Fontan repair.

机构信息

Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY.

出版信息

J Clin Anesth. 2015 Feb;27(1):60-2. doi: 10.1016/j.jclinane.2014.08.006. Epub 2014 Nov 21.

DOI:10.1016/j.jclinane.2014.08.006

Abstract

The cohort of the adult population with congenital heart disease is steadily growing, as surgical and medical management advances; and many women with congenital heart disease are becoming pregnant and presenting to the labor and delivery suite [1]. The anesthesiologist must therefore have an understanding of the physiology of the corrected heart lesion and the impact of the physiologic changes of pregnancy [2]. A woman status post-Fontan procedure requiring cesarean delivery is presented.

摘要

随着外科和内科治疗的进步，患有先天性心脏病的成年人数量稳步增加；许多患有先天性心脏病的女性已经怀孕并出现在产房[1]。因此，麻醉师必须了解矫正心脏病变的生理学以及妊娠生理变化的影响[2]。本文介绍了一位接受过 Fontan 手术的女性，她需要进行剖宫产。