Anesthesia for cesarean section in a patient with isolated unilateral absence of a pulmonary artery

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• 作者：Tomonori Furuya ; Ryoji Iida ; ^{ryoiida03@gmail.com} ; Jyumpei Konishi ; Jitsu Kato ; Takahiro Suzuki
• 关键词：Anesthesia ; Cesarean section ; Pregnancy ; Unilateral absence of a pulmonary artery
• 刊名：Brazilian Journal of Anesthesiology (English Edition)
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：67
• 期：1
• 页码：85-88
• 全文大小：519 K
• 卷排序：67

文摘

Congenital unilateral absence of a pulmonary artery (UAPA) is a rare anomaly. Although there are several reports regarding pregnancy in patients with unilateral absence of a pulmonary artery, there are no case reports describing anesthesia for Cesarean section in a patient with unilateral absence of a pulmonary artery.Case reportWe present a patient with unilateral absence of a pulmonary artery who underwent Cesarean sections twice at the ages of 24 and 26 years under spinal anesthesia for surgery and epidural analgesia for postoperative pain relief. Both times, spinal anesthesia and epidural analgesia enabled successful anesthesia management without the development of either pulmonary hypertension or right heart failure.ConclusionSpinal anesthesia combined with epidural analgesia is a useful anesthetic method for a Cesarean section in patients with unilateral absence of a pulmonary artery.