• BMC anesthesiology · May 2024

    Case Reports

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

    • Ana Vuzdar Trajkovski, Krešimir Reiner, Nikolina Džaja, Gloria Mamić, Mirabel Mažar, Jasminka Peršec, Vicko Gluncic, and Anita Lukic.
    • Department of Anesthesiology, Perioperative Management and Intensive Care in Gynecology and Obstetrics, Clinic of Anesthesiology, Reanimatology, Intensive Care and Pain Therapy, University Clinical Hospital Centre Zagreb, Kišpatićeva 12, Zagreb, 10000, Croatia.
    • BMC Anesthesiol. 2024 May 6; 24 (1): 169169.

    BackgroundThe 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 PresentationWe 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.ConclusionMaintaining hemodynamic stability is paramount in the prevention of the rupture or dissection of ascending aortic aneurysm during labor of parturient.© 2024. The Author(s).

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