Furuya Tomonori, Iida Ryoji, Konishi Jyumpei, Kato Jitsu, Suzuki Takahiro
Nihon University School of Medicine, Department of Anesthesiology, Tóquio, Japão.
Nihon University School of Medicine, Department of Anesthesiology, Tóquio, Japão.
Rev Bras Anestesiol. 2017 Jan-Feb;67(1):85-88. doi: 10.1016/j.bjan.2014.07.004. Epub 2015 Apr 18.
Congenital unilateral absence of a pulmonary artery (UAPA) is a rare anomaly. Although there are several reports regarding pregnancy in patients with unilateral absence of a pulmonary artery, there are no case reports describing anesthesia for Cesarean section in a patient with unilateral absence of a pulmonary artery.
We present a patient with unilateral absence of a pulmonary artery who underwent Cesarean sections twice at the ages of 24 and 26 years under spinal anesthesia for surgery and epidural analgesia for postoperative pain relief. Both times, spinal anesthesia and epidural analgesia enabled successful anesthesia management without the development of either pulmonary hypertension or right heart failure.
Spinal anesthesia combined with epidural analgesia is a useful anesthetic method for a Cesarean section in patients with unilateral absence of a pulmonary artery.
