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CASE REPORT
Year : 2015  |  Volume : 31  |  Issue : 1  |  Page : 119-122

Cesarean section under epidural anesthesia in a documented case of ruptured aneurysm of the sinus of valsalva


1 Department of Anesthesiology and Critical Care, GSVM Medical College and LLR Hospitals, Kanpur, Uttar Pradesh, India
2 Department of Cardiology, LPS Institute of Cardiology, GSVM Medical College and LLR Hospitals, Kanpur, Uttar Pradesh, India
3 Department of Radiology, GSVM Medical College and LLR Hospitals, Kanpur, Uttar Pradesh, India

Correspondence Address:
Dr. S R Divakar
Department of Anesthesiology and Critical Care, GSVM Medical College and LLR Hospitals, Kanpur - 208 002, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.150565

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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.


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