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

期刊论文
出版模式：

开放获取
发表日期：

2024年5月6日

查看全文

Ana Vuzdar Trajkovski,
Krešimir Reiner,
Nikolina Džaja,
Gloria Mamić,
Mirabel Mažar,
Jasminka Peršec,
Vicko Gluncic,
Anita Lukic

摘要

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.