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Combined spinal and epidural anesthesia in a parturient with idiopathic hypertrophic subaortic stenosis
Journal article   Peer reviewed

Combined spinal and epidural anesthesia in a parturient with idiopathic hypertrophic subaortic stenosis

K.M. Ho, W.D. Ngan Kee and M.C.M. Poon
Anesthesiology, Vol.87(1), pp.168-169
1997
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Abstract

Idiopathic hypertrophic subaortic stenosis (IHSS), also known as hypertrophic obstructive cardiomyopathy, is characterized by dynamic obstruction of the left ventricular outflow tract secondary to asymmetric hypertrophy of the ventricular septum. Pregnancy is usually well tolerated, but acute peripartum pulmonary edema and a fatal ventricular arrhythmia have been reported. [1,2] Epidural anesthesia for vaginal delivery and general anesthesia for cesarean section have been described previously. [3,4] We report the use of combined spinal and epidural anesthesia using intrathecal fentanyl followed by epidural infusion of a diluted bupivacaine-fentanyl infusion for pain relief during labor and delivery in a parturient with IHSS

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.37 Cardiology - General
1.37.1132 Hypertrophic Cardiomyopathy
Web Of Science research areas
Anesthesiology
ESI research areas
Clinical Medicine
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