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Epidural Analgesia and Vaginal Delivery in a Patient with Aortic Stenosis and Insufficiency
- Source :
- Medical Principles and Practice. 20:574-576
- Publication Year :
- 2011
- Publisher :
- S. Karger AG, 2011.
-
Abstract
- Objective: To report a successful vaginal delivery using slow infusion of epidural analgesia in a patient with both severe aortic stenosis and insufficiency. Clinical Presentation and Intervention: A 26-year-old primigravid patient presented to our hospital for delivery. She had aortic stenosis and insufficiency due to rheumatic fever. Although the obstetrician recommended cesarean section owing to her cardiac status, she insisted upon vaginal delivery. We performed low-dose epidural analgesia with 10 ml of 0.125% ropivacaine and 20 µg fentanyl. She had spontaneous vaginal delivery without complication. Conclusion: This case showed that in spite of the cardiac pathology, vaginal delivery under low-dose slow infusion of epidural analgesia was successful and therefore may be a safe alternative to cesarean section for cardiac patients.
- Subjects :
- Adult
medicine.medical_specialty
Aortic Valve Insufficiency
macromolecular substances
Pregnancy
medicine
Humans
Ropivacaine
Vaginal delivery
business.industry
Aortic Valve Stenosis
General Medicine
Slow infusion
Delivery, Obstetric
medicine.disease
Amides
Surgery
Analgesia, Epidural
Analgesics, Opioid
Fentanyl
Pregnancy Complications
Stenosis
Anesthesia
Analgesia, Obstetrical
Female
Hypertrophy, Left Ventricular
Rheumatic Fever
business
medicine.drug
Subjects
Details
- ISSN :
- 14230151 and 10117571
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Medical Principles and Practice
- Accession number :
- edsair.doi.dedup.....c2e84fb8fc65b1df28c2f7a00b797b4c