Teatment by Emergency Cesarean Section Immediately Followed by Operative Repair of the Aortic Dissection under General Anesthesia in a Patient with Pregnancy-Induced Hypertension: A case report.
10.4097/kjae.2006.50.3.337
- Author:
Hyung Kyun KIM
1
;
Mi Sook GWAK
;
IK Soo JUNG
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gwakms@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
aortic dissection;
cesarean section;
pregnancy
- MeSH:
Adult;
Anesthesia;
Anesthesia, General*;
Aortic Coarctation;
Cesarean Section*;
Connective Tissue Diseases;
Emergencies*;
Female;
Hemodynamics;
Humans;
Hypertension;
Hypertension, Pregnancy-Induced*;
Marfan Syndrome;
Mothers;
Pre-Eclampsia;
Pregnancy;
Pregnant Women
- From:Korean Journal of Anesthesiology
2006;50(3):337-340
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute aortic dissection can occur in pregnancy in association with severe hypertension due to preeclampsia, coarctation of the aorta, or connective tissue diseases such as Marfan syndrome. The aims of anesthesia are to minimize fetal exposure to cardiopulmonary depressant drugs prior to delivery while ensuring a well-controlled hemodynamic environment for the mother. We encountered a case of a 31-year-old pregnant woman (gestational age 38 weeks) with preeclampsia, gestational DM, and acute aortic dissection (Stanford type A, DeBakey type II). The patient successfully underwent an emergency cesarean section and the subsequent repair of the aortic dissection under general anesthesia. We report this experience with a brief review of the relevant literature.
