• Anaesthesia · Feb 1998

    Case Reports

    Regional anaesthesia with a subarachnoid microcatheter for caesarean section in a parturient with aortic stenosis.

    • A Pittard and M Vucevic.
    • Academic Unit of Anaesthesia, Leeds General Infirmary, UK.
    • Anaesthesia. 1998 Feb 1;53(2):169-73.

    AbstractWe present a woman in her first pregnancy, with known aortic stenosis prior to conception, who successfully underwent regional anaesthesia for an elective Caesarean section using a subarachnoid microcatheter. The anaesthetic management of patients with aortic stenosis requiring noncardiac surgery is a complex and contentious matter, particularly when the situation is compounded by the physiological changes accompanying pregnancy and delivery. This is the first reported use of a subarachnoid microcatheter in such a patient. The choice of technique is discussed and compared with other options for providing anaesthesia.

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