Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis
Abstract Background Maternal cardiac arrest during cesarean section (CS) is an extremely rare but devastating complication. Preventing emergency events from developing into maternal cardiac arrest is one of the most challenging clinical scenarios. Case presentation A 35-year-old pregnant woman with...
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12871-019-0791-x |
| _version_ | 1828777725021650944 |
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| author | Shouming Chen Lan Wu Xiaoqin Jiang |
| author_facet | Shouming Chen Lan Wu Xiaoqin Jiang |
| author_sort | Shouming Chen |
| collection | DOAJ |
| description | Abstract Background Maternal cardiac arrest during cesarean section (CS) is an extremely rare but devastating complication. Preventing emergency events from developing into maternal cardiac arrest is one of the most challenging clinical scenarios. Case presentation A 35-year-old pregnant woman with subvalvular aortic stenosis who was scheduled for elective CS under epidural anesthesia, and experienced devastating supine hypotensive syndrome, but was successfully resuscitated after delivery. Conclusions The performance of tilt position strictly or high-quality continue manual left uterine displacement (LUD) should be performed until the fetus is delivered, otherwise timely delivery of the fetus may be the best way to optimize the deadly condition. |
| first_indexed | 2024-12-11T16:27:59Z |
| format | Article |
| id | doaj.art-80c5b074954c4e2a82a02c535df0f57c |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-11T16:27:59Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-80c5b074954c4e2a82a02c535df0f57c2022-12-22T00:58:40ZengBMCBMC Anesthesiology1471-22532019-07-011911310.1186/s12871-019-0791-xAortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosisShouming Chen0Lan Wu1Xiaoqin Jiang2Department of anesthesiology, West China Second University Hospital, Sichuan UniversityDepartment of anesthesiology, West China Second University Hospital, Sichuan UniversityDepartment of anesthesiology, West China Second University Hospital, Sichuan UniversityAbstract Background Maternal cardiac arrest during cesarean section (CS) is an extremely rare but devastating complication. Preventing emergency events from developing into maternal cardiac arrest is one of the most challenging clinical scenarios. Case presentation A 35-year-old pregnant woman with subvalvular aortic stenosis who was scheduled for elective CS under epidural anesthesia, and experienced devastating supine hypotensive syndrome, but was successfully resuscitated after delivery. Conclusions The performance of tilt position strictly or high-quality continue manual left uterine displacement (LUD) should be performed until the fetus is delivered, otherwise timely delivery of the fetus may be the best way to optimize the deadly condition.http://link.springer.com/article/10.1186/s12871-019-0791-xSubvalvular aortic stenosisPregnancyCesarean sectionHypotension |
| spellingShingle | Shouming Chen Lan Wu Xiaoqin Jiang Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis BMC Anesthesiology Subvalvular aortic stenosis Pregnancy Cesarean section Hypotension |
| title | Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis |
| title_full | Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis |
| title_fullStr | Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis |
| title_full_unstemmed | Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis |
| title_short | Aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis |
| title_sort | aortocaval compression resulting in sudden loss of consciousness and severe bradycardia and hypotension during cesarean section in a patient with subvalvular aortic stenosis |
| topic | Subvalvular aortic stenosis Pregnancy Cesarean section Hypotension |
| url | http://link.springer.com/article/10.1186/s12871-019-0791-x |
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