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Background and Aims Heart disease in pregnant women can be rheumatic heart disease, cardiomyopathy, and congenital heart disease. A low-dose spinal combined epidural is effective in caesarean delivery with minimal side effects and reasonable outcomes in parturients with cardiac disease. We describe the successful use of a low-dose spinal combined epidural anaesthesia in a parturient with congenital heart disease for Cesarean section.
Methods This report describes the outcomes of each patient who underwent a low-dose spinal combined epidural for anesthesia management in 16 parturients with congenital heart disease treated at RSUD Dr. Saiful Anwar Malang.
Results Sixteen patients with low-dose spinal combined epidural technique (80%) were discharged from the hospital in good condition; three patients who are one patient with PDA and 2 VSD using single shoot low-dose spinal, and five patients with VSD, four patients with PDA, two patients in ASD, one patient with TOF, one patient with PPCM using a low-dose spinal combined epidural.
Conclusions The low-dose spinal combined epidural is a good choice for a parturient with congenital heart disease.
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