19 May 2008
General anesthesia for urgent Caesarean section in a patient with untreated Takayasu’s arteritis
Belgin Yavascaoglu, Nermin Kelebek GirginAm J Case Rep 2008; 9:273-276 :: ID: 858182
Abstract
Background: Takayasu’s arteritis (TA) is a rare form of nonspesific obliterative panarteritis, and resulting in multiple stenosis and occlusion of major arteries. Progression of the disease may be marked by aneurysmal dilatation of the affected arteries and may lead to fatal outcome, usually from cerebral ischemia or heart failure. In this case report, we describe a successful episode of anesthesia management with monitoring only mean arterial pressure (MAP) in a parturient affected with untreated TA during an urgent Caesarean section (C/S) under general anesthesia (GA).
Case Report: A 25-yr-old woman with a history of TA, was scheduled for emergency C/S under GA for acute fetal distress without doing any laboratory tests or special procedures for TA. The MAP was measured as 153 mmHg in the operating room. Because of our technical insufficiency, we could not perform any cerebral monitoring. We started intravenous nitroglycerine infusion, and titrated during the intraoperative period in accordance to the MAP values. Peroperative and postoperative periods were uneventful, and she was discharged 5 days post partum.
Conclusions: The case presented in this report suggested that, if the blood pressure of a patient with TA before and during the pregnancy is unknown, MAP could be used as a guide in order to protect the brain during general anesthesia, if there is no possibility of monitoring cerebral hemodynamics.
Keywords: Takayasu arteritis, Cesarean Section, general anaesthesia
In Press
14 Mar 2024 : Case report
Eosinophilic Pleural Effusion Secondary to Trichinella spiralis Infection in a Patient with Systemic Sclero...Am J Case Rep In Press; DOI: 10.12659/AJCR.943420
14 Mar 2024 : Case report
Laparoscopic Sleeve Gastrectomy with Staple-Line Oversewing in a Patient with Factor XI Deficiency: A Case ...Am J Case Rep In Press; DOI: 10.12659/AJCR.942824
14 Mar 2024 : Case report
Pathogenic Potential of a PCK1 Gene Variant in Cytosolic PEPCK Deficiency: A Compelling Case StudyAm J Case Rep In Press; DOI: 10.12659/AJCR.943118
14 Mar 2024 : Case report
Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Lapa...Am J Case Rep In Press; DOI: 10.12659/AJCR.942826
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250