Anesthetic Management for Simultaneous Cesarean Section and Aneurysmal Clipping of the Pregnant with Ruptured Cerebral Aneurysm. |
Soo II Lee, Jeong Yu Lee, Gi Baeg Hwang, Jae Taeck Huh, Sung Hwan Bae |
1Department of Anesthesiology, College of Medicine, Dong-A University, Pusan, Korea. 2Department of Neurosurgery, College of Medicine, Dong-A University, Pusan, Korea. 3Department of Anesthesiology, Bando Hospital, Jinjoo, South Kyungsang, Korea. |
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Abstract |
Aneurysmal subarachnoid hemorrhage in a pregnant woman is a rare catastrophic situation that places both the mother and fetus at high risk. When this situation arises, numerous relevant issues must be individualized in the effort to reduce hazards threatening both the mother and fetus. A 29 year old woman who was 39 weeks pregnant presented with a subarachnoid hemorrhage, secondary to a ruptured left ophthalmic artery aneurysm. Following initial full recovery, the simultaneous sequence of cesarean section followed by aneurysmal clipping was electively underwent. Successful maternal and perinatal outcome was achieved. The anesthetic management of the case is described and discussed. |
Key Words:
Anesthesia; obstetric; neurosurgical; Surgery; cesarean section; cerebral aneurysm; clipping |
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