Intraoperative Treatment of Fetal Asystole After Endovascular Repair of Aortic Coarctation in a Pregnant Woman with Mitral Stenosis

Laleh Jalilian, Carlos Delgado Upegui, Renata Ferreira, Lavonne Simmons, Christopher Ciliberto

Research output: Contribution to journalArticle

Abstract

A G1P0 woman with aortic coarctation and mitral valve stenosis underwent endovascular aortic repair with continuous fetal monitoring during the 20th week of pregnancy. On tracheal extubation, an episode of fetal asystole followed by fetal bradycardia was identified. Ephedrine, nitroglycerin, and terbutaline were administered for intrauterine fetal resuscitation. Subsequently, the patient developed hypertension and pulmonary edema, which were treated with furosemide and noninvasive positive pressure ventilation. The fetal heart rate normalized. We conclude that intraoperative monitoring of a previable fetus may aid in optimizing maternal hemodynamics. Before performing interventional procedures in pregnant women, a multidisciplinary team should discuss the goals of neonatal care should adverse fetal events be detected.

Original languageEnglish (US)
Pages (from-to)150-153
Number of pages4
JournalA & A case reports
Volume6
Issue number6
DOIs
StatePublished - Mar 15 2016
Externally publishedYes

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Airway Extubation
Fetal Monitoring
Intraoperative Monitoring
Terbutaline
Ephedrine
Fetal Heart Rate
Aortic Coarctation
Positive-Pressure Respiration
Mitral Valve Stenosis
Aortic Valve Stenosis
Furosemide
Nitroglycerin
Pulmonary Edema
Bradycardia
Heart Arrest
Resuscitation
Pregnant Women
Fetus
Hemodynamics
Mothers

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Intraoperative Treatment of Fetal Asystole After Endovascular Repair of Aortic Coarctation in a Pregnant Woman with Mitral Stenosis. / Jalilian, Laleh; Delgado Upegui, Carlos; Ferreira, Renata; Simmons, Lavonne; Ciliberto, Christopher.

In: A & A case reports, Vol. 6, No. 6, 15.03.2016, p. 150-153.

Research output: Contribution to journalArticle

Jalilian, Laleh ; Delgado Upegui, Carlos ; Ferreira, Renata ; Simmons, Lavonne ; Ciliberto, Christopher. / Intraoperative Treatment of Fetal Asystole After Endovascular Repair of Aortic Coarctation in a Pregnant Woman with Mitral Stenosis. In: A & A case reports. 2016 ; Vol. 6, No. 6. pp. 150-153.
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