{"title":"单心室生理下肺动脉高压大室间隔缺损患者剖宫产麻醉","authors":"Anvar Sadath, Nisha Rajmohan, Vismaya Raj Mohan","doi":"10.14260/jemds.v12i2.342","DOIUrl":null,"url":null,"abstract":"Pregnancy in a patient with large ventricular septal defect (VSD) with severe pulmonary hypertension (PAH) increases the risk of mortality severalfold. This when combined with single ventricle physiology forms a rare and deadly combination. A 26-year-old female presented for elective LSCS at 35 weeks gestation. She had a large VSD with severe PAH with a single ventricle physiology. We report the successful conduct of a caesarean section in this patient under graded epidural anaesthesia.","PeriodicalId":47072,"journal":{"name":"Journal of Evolution of Medical and Dental Sciences-JEMDS","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Anaesthesia for Caesarean Section in a Patient with Large Ventricular Septal Defect with Pulmonary Hypertension with Single Ventricle Physiology\",\"authors\":\"Anvar Sadath, Nisha Rajmohan, Vismaya Raj Mohan\",\"doi\":\"10.14260/jemds.v12i2.342\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Pregnancy in a patient with large ventricular septal defect (VSD) with severe pulmonary hypertension (PAH) increases the risk of mortality severalfold. This when combined with single ventricle physiology forms a rare and deadly combination. A 26-year-old female presented for elective LSCS at 35 weeks gestation. She had a large VSD with severe PAH with a single ventricle physiology. We report the successful conduct of a caesarean section in this patient under graded epidural anaesthesia.\",\"PeriodicalId\":47072,\"journal\":{\"name\":\"Journal of Evolution of Medical and Dental Sciences-JEMDS\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-02-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Evolution of Medical and Dental Sciences-JEMDS\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14260/jemds.v12i2.342\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Evolution of Medical and Dental Sciences-JEMDS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14260/jemds.v12i2.342","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Anaesthesia for Caesarean Section in a Patient with Large Ventricular Septal Defect with Pulmonary Hypertension with Single Ventricle Physiology
Pregnancy in a patient with large ventricular septal defect (VSD) with severe pulmonary hypertension (PAH) increases the risk of mortality severalfold. This when combined with single ventricle physiology forms a rare and deadly combination. A 26-year-old female presented for elective LSCS at 35 weeks gestation. She had a large VSD with severe PAH with a single ventricle physiology. We report the successful conduct of a caesarean section in this patient under graded epidural anaesthesia.
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