Key result
Spinal anesthesia with bupivacaine and morphine safely facilitates cesarean section in a patient with RVOT VT.
Why the study?
Idiopathic RVOT-VT may pose challenges during pregnancy and delivery due to the risk of sympathetic stimulation.
Case Report (n=1)
Tailored anesthetic planning, including trigger avoidance and appropriate vasopressor use, is crucial for managing pregnant patients with RVOT-VT during cesarean section.
Answers are grounded in this paper and cite their sources.
May support spinal anesthesia feasibility in RVOT-VT cesarean cases; hypothesis-generating and requires prospective validation.
Idiopathic ventricular tachycardia arising from right ventricle outflow tract (RVOT-VT) is an uncommon, catecholamine-sensitive form of VT occurring in the absence of structural heart disease and may pose challenges during pregnancy and delivery due to the risk of sympathetic stimulation. We report a case of a pregnant woman with RVOT-VT who underwent caesarean section. She had a history of dyspnoea and palpitations, was diagnosed and started on calcium channel blocker in the antenatal period. Peripartum management of RVOT-VT can be challenging. A carefully planned spinal anaesthetic using bupivacaine and intrathecal morphine was administered, with specific measures taken to minimise arrhythmogenic triggers. This case highlights the importance of tailored anaesthetic planning in patients with RVOT-VT, focusing on trigger avoidance, choice of anaesthetic technique and appropriate vasopressor use.
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Afshan et al. (2026) conducted a case report in Right ventricular outflow tract ventricular tachycardia (RVOT-VT) (n=1). Spinal anaesthesia (bupivacaine and intrathecal morphine) was evaluated. Spinal anaesthesia using bupivacaine and intrathecal morphine was successfully administered to a pregnant patient with right ventricular outflow tract ventricular tachycardia undergoing cesarean section.
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