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British Journal of Anaesthesia, 2003, Vol. 90, No. 2 241-243
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Anaesthetic management of a parturient with pulmonary stenosis and aortic incompetence for Caesarean section

N. Campbell1, O. P. Rosaeg*,1 and K. L. Chan2

1 Department of Anesthesiology, The Ottawa Hospital—Civic Campus and 2 The Adult Congenital Heart Clinic, University of Ottawa, Ottawa, Canada

Corresponding author: Department of Anesthesiology, The Ottawa Hospital—Civic Campus, University of Ottawa, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9, Canada. E-mail: norse@cyberus.ca

Anaesthetic management of Caesarean section in a parturient with severe pulmonary stenosis and aortic regurgitation is described. The valvular sequelae resulted from previous unsuccessful surgical correction (Ross procedure) of congenital aortic stenosis. This case demonstrates the importance of multi-disciplinary assessment and careful anaesthetic planning, to avoid deterioration in perioperative cardiac performance in parturients with complex valvular disease.

Br J Anaesth 2003; 90: 241–3


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