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Case Reports
Aneurysmal hemorrhage in a pregnant patient with coarctation of aorta: An anesthetic challenge.
- G S Tomar, K Goyal, R Chandran, A Luthra, V Chauhan, and N Kumar.
- Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
- J Clin Anesth. 2017 Feb 1; 37: 176-178.
AbstractA 25years old female patient with pregnancy of 16weeks (G2 P1), diagnosed to have distal anterior cerebral artery aneurysm (DACA) with Hunt & Hess grade I, subarachnoid hemorrhage (SAH) and coexisting atretic type of aortic coarctation posted for aneurysmal clipping under general anesthesia is a challenge to anesthesiologists in perioperative period. Hypertensive surges in a pregnant patient may result in rupture of aneurysms. Mortality in the mothers with CoA has been reported to be in the range of 0 to 9%. Anesthetic management of a pregnancy with CoA and SAH has never been reported.Copyright © 2016 Elsevier Inc. All rights reserved.
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