Anesthesiology Approach to Pregnant Women Affected by Brugada Syndrome: A Single-Center Case Series and Literature Review

Abstract

This study aimed to review the peri-operative management of pregnant women affected by Brugada syndrome (BrS) undergoing spontaneous deliveries or C-sections. Few studies in literature have explored this issue in pregnant women, and the safety of anesthetic agents in BrS is under debate. We collected data from 11 pregnant patients, with confirmed or suspected BrS, who gave birth at Sant’Anna Hospital in the City of Health and Science of Turin between 2013 and 2022. In all the patients, we did not report any arrhythmic complications either during spontaneous deliveries or during cesarean section (C-section).

Keywords

• brugada syndrome
• cesarean section
• general anesthesia
• levobupivacaine
• obstetric patient
• propofol
• spinal anesthesia