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Case Reports
. 2024 May 6;24(1):169.
doi: 10.1186/s12871-024-02553-2.

Anesthetic management for cesarean section in two parturient with ascending aortic aneurysm: a case-based discussion

Ana Vuzdar Trajkovski  1 , Krešimir Reiner  1 , Nikolina Džaja  1 , Gloria Mamić  1 , Mirabel Mažar  2 , Jasminka Peršec  3 , Vicko Gluncic  4 , Anita Lukic  5   6   7
Affiliations
Case Reports

Anesthetic management for cesarean section in two parturient with ascending aortic aneurysm: a case-based discussion

Ana Vuzdar Trajkovski et al. BMC Anesthesiol. .

Abstract

Background: The anesthetic management of parturients with ascending aortic aneurysm for cesarean section can be particularly challenging, primarily because of increased risk for aortic dissection or aneurysm rupture.

Case presentation: We present some aspects of the anesthetic management of two parturients with ascending aortic aneurysm for cesarean sections; amongst, the use of remifentanil with its effects on patient and newborn. We emphasize the importance of a cardio-obstetric team in the context of preoperative planning of such patients. Also, we reviewed some literature on the anesthetic management with its effect on peri-operative hemodynamic stability.

Conclusion: Maintaining hemodynamic stability is paramount in the prevention of the rupture or dissection of ascending aortic aneurysm during labor of parturient.

Keywords: Anesthesia; Aortic dissecting aneurysm; Ascending aortic aneurysm; Cesarean section; Remifentanil; Ruptured aneurysm.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flowchart of the first parturient with ascending aortic aneurysm
Fig. 2
Fig. 2
Ascending aortic aneurysms. (A): Magnetic resonance aortography of the first parturient. (B): Multislice computed tomography aortography of the second parturient
Fig. 3
Fig. 3
Intraoperative haemodynamics. (A): The first parturient. (B): The second parturient
Fig. 4
Fig. 4
Flowchart of the second parturient with ascending aortic aneurysm
See this image and copyright information in PMC

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References

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