Urgent cesarean delivery and prolonged ventilatory support in a parturient with Fontan circulation and undiagnosed pseudocholinesterase deficiency

K J Grim; K W Arendt; A K Jacob; C H Rose; M T Keegan

doi:10.1016/j.ijoa.2010.11.006

Urgent cesarean delivery and prolonged ventilatory support in a parturient with Fontan circulation and undiagnosed pseudocholinesterase deficiency

Int J Obstet Anesth. 2011 Apr;20(2):184-8. doi: 10.1016/j.ijoa.2010.11.006.

Authors

K J Grim¹, K W Arendt, A K Jacob, C H Rose, M T Keegan

Affiliation

¹ Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA.

PMID: 21388803
DOI: 10.1016/j.ijoa.2010.11.006

Abstract

A parturient with Fontan circulation required general anesthesia for urgent cesarean delivery and subsequent prolonged postoperative ventilation for newly-diagnosed pseudocholinesterase deficiency. Anesthetic management necessitated a thorough understanding of the hemodynamic principles of the Fontan circulation and physiologic adaptations during surgical delivery and recovery in the intensive care unit.

Publication types

Case Reports

MeSH terms

Adult
Butyrylcholinesterase / deficiency*
Cesarean Section*
Female
Fontan Procedure*
Humans
Pregnancy
Pregnancy Complications / physiopathology*
Respiration, Artificial*
Tricuspid Atresia / physiopathology*
Tricuspid Atresia / surgery

Substances

Butyrylcholinesterase