Toggle Main Menu Toggle Search

Open Access padlockePrints

Caesarean section in patients with heart-lung transplants: a report of three cases and review

Lookup NU author(s): Dr Valerie Bythell, Dr Michael Bryson, Dr John Halshaw


Full text is not currently available for this publication.


There are increasing numbers of combined heart-lung transplants being carried out in young people for end-stage pulmonary disease. There have-to-date been few reports of pregnancy in heart-lung transplant recipients. We report on the successful outcome of three pregnancies involving two patients following heart-lung transplantation. The importance of an interdisciplinary approach to the care of such patients throughout pregnancy is clear. The deliveries were carried out by caesarean section under regional anaesthesia and the discussion focuses on the choice of anaesthesia along with the problems these patients present to the anaesthetist. Regional anaesthesia appears to be a safe technique in these patients. However, it is important to appreciate that the response to vasoactive drugs may be unpredictable and that intravenous fluid should be administered carefully as they are at risk of fluid overload and pulmonary oedema. (C) 2000 Harcourt Publishers Ltd.

Publication metadata

Author(s): Rigg CD, Bythell VE, Bryson MR, Halshaw J, Davidson JM

Publication type: Report

Publication status: Published

Series Title: International Journal of Obstetric Anesthesia

Year: 2000

Pages: 125-132

Source Publication Date: 01-04-2000

Institution: Churchill Livingstone

Place Published: United Kingdom


DOI: 10.1054/ijoa.1999.0363