Key result
Emergency cesarean delivery under spinal anesthesia in a parturient with intractable paroxysmal supraventricular tachycardia resulted in a healthy baby and spontaneous conversion to normal sinus rhythm.
Case Report (n=1)
No
Emergency Cesarean delivery under spinal anesthesia with phenylephrine support can safely resolve intractable paroxysmal SVT in late pregnancy while ensuring fetal safety.
May support cesarean delivery under spinal anesthesia for refractory SVT in pregnancy; hypothesis-generating and should not change practice.
Paroxysmal supraventricular tachycardia (SVT) is a common arrhythmia in the parturient and can occur with or without an underlying organic heart disease. A woman of 35 weeks' gestation, who had a paroxysmal SVT that was resistant to antiarrhythmic drugs and electric cardioversion, required emergency Cesarean delivery. The Cesarean delivery was performed under spinal anesthesia and a healthy baby was delivered uneventfully. SVT spontaneously converted to normal sinus rhythm right after delivery of the baby.
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Kim et al. (2012) conducted a case report in Intractable paroxysmal supraventricular tachycardia (n=1). Emergency cesarean delivery under spinal anesthesia was evaluated on Delivery outcome and maternal heart rhythm. Emergency cesarean delivery under spinal anesthesia in a parturient with intractable paroxysmal supraventricular tachycardia resulted in a healthy baby and spontaneous conversion to normal sinus rhythm.
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