Anesthetic management of a patient with congenital complete heart block posted for emergency cesarean section

Introduction: Complete heart block is a rare disorder of conduction system which can be congenital oracquired.Anesthesia in patients with complete heart block can be challenging to anesthetist. Case Report: We report a 25-year-old female presented for emergency cesarean section with fetal distress found to have complete heart block. We discuss the management of patient with complete block posted for surgery according to advanced cardiac support guidelines with review of literature. Conclusion: Anesthesia in patients with complete heart block can be challenging due to uncontrolled hemodynamics unresponsive to conventional drugs. Anesthetic management in such patients should be according advanced cardiac life support guidelines. General anesthesia is preferred over spinal anesthesia for better control of hemodynamics. Keywords: Transcutaneous pacemaker, complete heart block, emergency cesarean section.