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Summary

Fetal cardiac intervention provides fetuses with certain cardiac anomalies, a greater likelihood of biventricular circulation and/or treatment options after delivery. Anesthesia care for mothers undergoing fetal cardiac intervention has evolved over the years and more recently involves the use of neuraxial anesthesia with sedation. The maternal fetal anesthesiologist caring for the patient undergoing fetal cardiac intervention should be conversant with the diagnosis, pathophysiology, and planned intervention. This is important for appropriate anticipation and treatment of hemodynamic changes that may occur in the fetus immediately following intervention.

A neonate weighing 2.8 kilograms underwent the staged hybrid procedure for palliation of hypoplastic left heart syndrome. Within 6 hours following placement of a stent to retain patency of the interatrial communication, the infant developed second degree atrioventricular block, which resolved within 24 hours. Four days later, the patient developed complete atrioventricular dissociation. Removal of the stent was followed by recovery of atrioventricular conduction.

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Chapter 8 - Fetal Cardiac Intervention

Summary

Atrioventricular block following implantation of a stent in the oval fossa

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2 results

Chapter 8 - Fetal Cardiac Intervention

Summary

Atrioventricular block following implantation of a stent in the oval fossa