Spinal anaesthesia for cesarean section in a case of congenital complete heart block

Abstract

We report a case of congenital complete heart block on a temporary pacemaker who underwent an elective lower segment cesarean section under spinal anesthesia uneventfully. These patients could be completely asymptomatic but are at risk of sudden cardiovascular collapse. Spinal anesthesia is a safe option. Maintenance of hemodynamic stability including heart rate control with a temporary pacemaker is important

Keywords

• bupivacaine
• congenital complete heart block
• fentanyl
• pregnancy
• spinal anesthesia
• temporary pacemaker