Spinal anesthesia for cesarean section with Mobitz type II second-degree atrioventricular block: Case report

Quispe Pilco E.R.; Quispe Pilco J.L.; Saire Huamán R. · Revista Chilena de Anestesia (2026) · DOI: 10.25237/revchilanestv55n5-27

Resumen

Atrioventricular block (AVB) during pregnancy is a rare and potentially risky condition requiring management by a multidisciplinary team. Upon diagnosis of AVB, it can be managed conservatively or may require temporary or permanent pacemaker implantation. We present the case of a 24-year-old pregnant woman diagnosed with second-degree Mobitz type II AVB, who was asymptomatic and underwent a cesarean section under spinal anesthesia without complications and while maintaining hemodynamic stability. A temporary transcutaneous pacemaker was implanted pending any intra- and postoperative events. We conclude that spinal anesthesia can be considered an option for cesarean section in a patient with second-degree Mobitz type II AVB.