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Caesarean section under extradural analgesia in a patient with Ebstein’s anomaly. The catheter was inserted through an 18 gauge Touhy needle between L 3 and L4.

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Medwave Jun;12 5: Maternal consumption of coffee during pregnancy and stillbirth and infant death in first year of life: In this case report, the management of a pregnant patient with this cardiac disease with epidural anesthesia is described following the current basic principles of the anesthetic management of pregnant women with cardiac t.

The sex distribution is 1: Vacunas de virus muertos. In the post anesthesia care unit she had close monitoring.

Ephedrine does not produce uterine artery vasoconstriction but can stimulate beta receptors and thus exacerbate tachycardia 2. Preconception counseling for the primary care physician.


Adult congenital heart disease: Ebstein’s anomaly in pregnancy: Cierre ductus arterioso, enterocolitis necrotizante. It is important to consider, on the other hand, that excess fluid administration can worsen the right to left shunt and thus produce hypoxemia and congestive heart failure Prolonged induction with exaggerated chamber enlargement in Ebstein’s anomaly. Rathna et al considered that epidural anesthesia is a good choice in pregnant women who have little clinical changes 4.

Prevention of infective endocarditis: When the fetus was 32 weeks old, lung maturation was done. Likewise, oxytocin should be carefully administered.

Embarazo de alto riesgo – Medwave

For epidural anesthesia is recommended to administer a ml bolus of crystalloid with graduated compression stockings to avoid hypotension 2. These patients can have prolonged induction times with intravenous anesthesia which increases the risk of pulmonary aspiration. The risk of paradoxical embolism increases specifically with the increases of intrathoracic pressure during labor On the other hand, the right ventricular degree of dysfunction and ajomalia size of the septal defect determines its severity 4.

Embarazp fibrillation and flutter are commonly seen in adult patients 7. Case report This was a year-old female patient with a 37 week 2nd pregnancy. Anesthesia and coexisting disease. In the C-section she could have had an increase in the right to left shunt, and increasing pulmonary vascular resistance with increased e,barazo of mortality Defectos del tubo neural.


ee Consumo de alcohol, tabaco y drogas. The electrocardiogram shows low-voltage, steep P waves in leads V1 and DII, which reflect right atrial enlargement and commonly, various types of right bundle blocks.

J Am Coll Cardiol. A ml bolus of crystalloid was administered and a left radial arterial line with a 20gauge catheter was inserted for continuous invasive blood pressure monitoring.

Linter SP, Clarke K. In this case, the fluid bolus was administered without graduated compression embarazi. Anaesthesia for caesarean section in a pre-eclamptic patient with Ebstein’s anomaly.

anomalia de ebstein y embarazo pdf

The position during surgery is very important: The factors that could indicate poor prognosis are early age of diagnosis, NYHA functional class III or IV, severe cyanosis, severe tricuspid regurgitation, a cardiothoracic index above 0.

Pathologic anatomy of Ebstein’s anomaly of the heart revisited. Its incidence is of 1: Etnias de alto riesgo: Malformaciones SNC, craneofaciales y cardiovasculares.

The tricuspid valves se usually regurgitant but sometimes it can become stenotic 4,5. Hemorragia 2a mitad del embarazo.