Open AccessCesarean section under epidural anesthesia in a documented case of ruptured aneurysm of the sinus of valsalva
Author(s) -
S R Divakar,
Chandrashekhar Singh,
Chandra Mohan Verma,
Chaitanya Dattatray Kulkarni
Publication year - 2015
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.150565
Subject(s) - medicine , asymptomatic , bicuspid aortic valve , aneurysm , sinus (botany) , regurgitation (circulation) , gestation , pregnancy , surgery , anesthesia , marfan syndrome , cardiology , hemodynamics , aortic valve , botany , genetics , biology , genus
Ruptured aneurysm of sinus of Valsalva (RSOV) occurring in pregnancy is a rare cardiac anomaly and it may be either congenital or acquired. Congenital sinus of Valsalva aneurysms are commonly associated with other structural defects such as ventricular septal defect (50-55%), aortic regurgitation (AR) (25-35%), bicuspid aortic valve (10-15%) and Marfan's syndrome (10%). RSOV in pregnancy accentuates the hemodynamic stress on maternal cardiovascular system and pose a significant challenge from obstetric anesthesia point of view. We report a case of 35-year-old documented patient of RSOV with mild AR presenting completely asymptomatic at 37 weeks 4 days of gestation. A successful elective lower segment cesarean section was conducted under epidural anesthesia.