Combined spinal epidural anesthesia provided hemodynamic stability and effective post-operative analgesia in a pregnant patient with WPW syndrome undergoing emergency cesarean section.
May support combined spinal-epidural anesthesia in WPW pregnancies for cesarean; hypothesis-generating and requires prospective validation.
The most common arrhythmia seen during pregnancy is paroxysmal supraventricular tachycardia and Wolff-Parkinson-White syndrome accounts for majority of this in such population. The presence of pre-disposing factors may facilitate the onset of tachyarrhythmias in previously asymptomatic parturients with the WPW syndrome such as increased hemodynamic, hormonal, autonomic, and emotional changes. Therefore, meticulous monitoring is essential perioperatively. Epidural anesthesia providing added advantage of hemodynamic stability and post-operative analgesia is preferred in such pregnant patients undergoing emergency cesarean section.
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Palaria et al. (2013) studied this question.
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