Emergency Cesarean Section in a Patient with Congenital Complete Heart Block under General Anesthesia: A Case Report

Pradeep Tiwari; Shraddha S Mathkar

doi:10.5005/jp-journals-10049-0057

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Emergency Cesarean Section in a Patient with Congenital Complete Heart Block under General Anesthesia: A Case Report

Pradeep Tiwari, Shraddha S Mathkar

Keywords : Congenital complete heart block, Emergency LSCS, Transvenous pacing

Citation Information : Tiwari P, Mathkar SS. Emergency Cesarean Section in a Patient with Congenital Complete Heart Block under General Anesthesia: A Case Report. Res Inno in Anesth 2019; 4 (1):9-10.

DOI: 10.5005/jp-journals-10049-0057

License: CC BY-NC 4.0

Published Online: 01-06-2019

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Abstract

Congenital complete heart block in pregnancy is rare. Fetal distress permits no time for neuraxial blockade. Twenty-two years antenatal clinic diagnosed atrioventricular dissociation and complete heart block at 6 months of pregnancy, presented with fetal distress at 36 weeks. General anesthesia was given with transcutaneous pacemaker standby. Healthy baby was delivered. One episode of bradycardia occurred which responded to Inj atropine 0.6 mg IV however blood pressure was stable. We managed lower segment cesarean section (LSCS) in complete hearth block with fetal distress uneventfully with general anesthesia.

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