PP-033 The Atrioventricular complete heart block diagnosed on the preoperative routine test for caesarian section

Sonila Bele; Albana Banushi

PP-033 The Atrioventricular complete heart block diagnosed on the preoperative routine test for caesarian section

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Abstract

Article info

PP-033 The Atrioventricular complete heart block diagnosed on the preoperative routine test for caesarian section. Perinatal Journal 2024;32(2024):27 DOI: 10.59215/prn.24.032supp033

Author(s) Information

Sonila Bele,

Albana Banushi

Faculty of Medicine, Department of Obstetrics and Gynecology, Tirana, Albania

Correspondence

Sonila Bele, Faculty of Medicine, Department of Obstetrics and Gynecology, Tirana, Albania, [email protected]

Publication History

Manuscript Received: May 01, 2024

Manuscript Accepted: May 01, 2024

Publication date: May 18, 2024

Conflicts of Interest

No conflicts declared.

Objective

The management of women presenting with with complete heart block during pregnancy remains very challenging. Untill now, there is not an established consensus for the most appropriate anaesthetic technique for caesarean section in women with complete atrioventricular block.

Methods

On our case, the atrioventricular complete heart block was diagnosed on the preoperative routine test for Caesarian Section due to cephalo-pelvic disproportion. The patient had no rregular antenatal check ups at a local hospital. Her parents reported rare episodes of syncope during childhood and adolescence and one more episode two year before. During pregnancy she did not report any sincope episode except from being tired .

Results

For obstetric reasons caesarean section was performed successfully under spinal anaesthesia with continuous monitorization during intraoperative time without a pacemaker .Even though the patient reacted well during administration of atropine a temporary pacemaker was found to be in case we would need it. A healthy baby boy of 3350 gram was delivered. During postpartum period the patient did not have any complains or syncope episodes. It was strongly recommended to her a regular follow up to cardiology department.

Conclusion

As suggested by our case, asymptomatic atrioventricular complete heart block in pregnancy can be managed successfully without pacemaker. However, careful monitoring, is necessity by the pregnancy heart team with a cardiologist, anaesthetist and obstetrician, with experience in the management of high risk pregnancies. Management of the risk for cardiovascular and obstetrical complications is difficult in pregnant women with complete heart block. Asymptomatic complete heart block in late pregnancy should be managed without pacemaker by the pregnancy heart team with a cardiologist, anaesthetist and obstetrician, with experience in the management of high risk pregnancies.

Keywords

Pregnanacy, complete atrio ventricular heart block,temporary pacing,obstetrical complication

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PP-033 The Atrioventricular complete heart block diagnosed on the preoperative routine test for caesarian section

Article info

Author(s) Information

Correspondence

Publication History

Conflicts of Interest

Objective

Methods

Results

Conclusion

Keywords