Takayasu Aortoarteritis With Dilated Cardiomyopathy: Anesthetic Management of Labor Analgesia

Received 10 November 2008; received in revised form 6 February 2009; accepted 11 February 2009.

Takayasu aortoarteritis in a pregnant patient is often associated with severe life-threatening complications. The coexistence of associated dilated cardiomyopathy can further complicate the pregnancy, particularly during parturition and at the time of delivery. We describe the management of labor analgesia in a symptomatic parturient suffering from advanced Takayasu aortoarteritis with dilated cardiomyopathy and a recent episode of congestive cardiac failure. The patient was man-aged with graded epidural analgesia instituted early in labor. Intermittent boluses of 0.0625% bupivacaine with 2 μg/mL fentanyl were administered epidurally, which provided adequate analgesia without impaired hemodynamic status.

Key Words: analgesia, epidural , cardiomyopathy, dilated , labor pain , Takayasu arteritis

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Article Outline

• Abstract

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References

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Department of Anesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi, India

Corresponding author. Department of Anesthesiology and Intensive Care, S-6, First Floor Outpatient Block, R.P. Center, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India

PII: S1875-4597(10)60022-7

doi:10.1016/S1875-4597(10)60022-7

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