P018: DELAYED NEURAXIAL HEMATOMA IN PARTURIENT WITH FONTAN CIRCULATION FOLLOWING NEURAXIAL ANESTHESIA FOR CESAREAN SECTION
Chuks Chiaghana, MD, Justin Bremer, DO, Joshua Sappenfield, MD, Adam Wendling; University of Florida
Neuraxial hematoma is a rare complication of spinal or epidural anesthesia. However, variable coagulation factor defects are relatively common in patients with fontan circulation, and may predispose such patients to either increased risk of thrombosis or coagulopathy. These defects may indirectly increase their risk of neuraxial hematoma. We report a case of delayed neuraxial hematoma after the start of full dose anticoagulation for pulmonary embolus on a postpartum patient with fontan physiology who had continuous spinal anesthesia for cesarean delivery 4 days earlier.