REGIONAL ANESTHESIA WITH A SUBARACHNOID MICROCATHETER FOR CESAREAN-SECTION IN A PARTURIENT OLD MICROCATHETER WITH AORTIC

We present a woman in her first pregnancy, with known aortic stenosis prior to conception, who successfully underwent regional anaesthesia f or an elective Caesarean section using a subarachnoid microcatheter. T he anaesthetic management of patients with aortic stenosis requiring n oncardiac surgery is a complex and contentious matter, particularly wh en the situation is compounded by the physiological changes accompanyi ng pregnancy and delivery. This is the first reported use of a subarac hnoid microcatheter in such a patient. The choice of technique is disc ussed and compared with other options for providing anaesthesia.