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

JOURNAL TITLE: Journal of Research & Innovation in Anesthesia

Author
1. Pradeep Tiwari
2. Shraddha S Mathkar
ISSN
DOI
10.5005/jp-journals-10049-0057
Volume
4
Issue
1
Publishing Year
2019
Pages
1
Author Affiliations
1. com.mps.common.model.Contributor@c8b63d ,
2. com.mps.common.model.Contributor@7ed0b46e
Article keywords
Congenital complete heart block, Emergency LSCS, Transvenous pacing

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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