Key result
Regional anaesthesia using a subarachnoid microcatheter was successfully used for an elective Caesarean section in a parturient with aortic stenosis.
Case Report (n=1)
This case report demonstrates the successful use of a subarachnoid microcatheter for regional anaesthesia in a pregnant patient with aortic stenosis undergoing Caesarean section.
Supports feasibility in select aortic stenosis cases; leaves open need for prospective data before wider use.
We present a woman in her first pregnancy, with known aortic stenosis prior to conception, who successfully underwent regional anaesthesia for an elective Caesarean section using a subarachnoid microcatheter. The anaesthetic management of patients with aortic stenosis requiring noncardiac surgery is a complex and contentious matter, particularly when the situation is compounded by the physiological changes accompanying pregnancy and delivery. This is the first reported use of a subarachnoid microcatheter in such a patient. The choice of technique is discussed and compared with other options for providing anaesthesia.
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Pittard et al. (1998) conducted a case report in Aortic stenosis in pregnancy requiring Caesarean section (n=1). Regional anaesthesia with a subarachnoid microcatheter was evaluated on Successful regional anaesthesia for elective Caesarean section. Regional anaesthesia using a subarachnoid microcatheter was successfully used for an elective Caesarean section in a parturient with aortic stenosis.
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