Anaesthetic management for caesarean section in a parturient with uncorrected coarctation of the aorta.

We present the case of a woman who refused RMI examination to diagnose a coarctation of her aorta before her third pregnancy. At term of 34 weeks of gestation the caesarean delivery was scheduled under spinal-epidural anaesthesia. Despite the use of a titrated regional anaesthesia, an important arterial hypotension occurred, restored with low doses of vasopressive agents. Copyright (c) 2010 Elsevier Masson SAS. All rights reserved.