• A&A practice · Feb 2024

    Case Reports

    Anesthetic Management of Middle Aortic Syndrome in an Adult: A Case Report.

    • Sean K Senozan, Amelia Clarke, Abey S Abraham, Nikolaos J Skubas, and Yasdet Maldonado.
    • From the Department of Cardiothoracic Anesthesiology, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio.
    • A A Pract. 2024 Feb 1; 18 (2): e01749e01749.

    AbstractMiddle aortic syndrome (MAS) is a rare disorder characterized by narrowing of the aorta. Depending on the location and extent of aortic narrowing, surgical management may be necessary to prevent long-term sequelae, such as stroke and congestive heart failure. We report a case of MAS and discuss the unique intraoperative anesthetic considerations including hemodynamic monitoring proximal and distal to the aortic narrowing, minimizing the risk of spinal cord ischemia, and utilization of intraoperative dobutamine stress testing to guide surgical management.Copyright © 2024 International Anesthesia Research Society.

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