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J Clin Diagn Res. 2016 Feb;10(2):UD01-2. doi: 10.7860/JCDR/2016/15751.7182. Epub 2016 Feb 01.

Spinal Anaesthesia is Safe in a Patient with Wolff-Parkinson-White Syndrome Undergoing Evacuation of Molar Pregnancy.

Journal of clinical and diagnostic research : JCDR

Pravalika Deviseti, Vinayak S Pujari

Affiliations

  1. Post Graduate Student, Department of Anesthesiology, M.S. Ramaiah Medical College & Hospitals , New BEL Road Bangalore, India .
  2. Associate Professor, Department of Anesthesiology, M.S. Ramaiah Medical College & Hospitals , New BEL Road Bangalore, India .

PMID: 27042562 PMCID: PMC4800628 DOI: 10.7860/JCDR/2016/15751.7182

Abstract

Wolff-Parkinson-White (WPW) syndrome is an uncommon cardiac condition where there is an abnormal band of atrial tissue connecting atria and ventricles which can electrically bypass atrioventricular node. The anaesthetic management in these patients is challenging as life threatening complications can occur perioperatively like paroxysmal supraventricular tachycardia and atrial fibrillation. Also, regional anaesthetic technique like subarachnoid block is a safe and cost effective alternative to general anaesthesia as it avoids polypharmacy. We report the successful anaesthetic management of Wolff Parkinson White syndrome in a primi with hydatiform mole posted for suction and evacuation.

Keywords: Accessory pathway; Subarachnoid block; Ventricular pre-excitation; WPW syndrome

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