Key result
Anesthetic management of an adult with middle aortic syndrome involved hemodynamic monitoring proximal and distal to the narrowing, minimizing spinal cord ischemia risk, and dobutamine stress testing.
Why the study?
Middle aortic syndrome is a rare disorder requiring surgical management to prevent long-term sequelae such as stroke and congestive heart failure, presenting unique intraoperative anesthetic considerations.
Case Report (n=1)
Highlights specialized anesthetic considerations, including proximal and distal hemodynamic monitoring and dobutamine stress testing, for surgical management of Middle Aortic Syndrome.
May inform anesthetic care for middle aortic syndrome; leaves open validation in larger cohorts.
Middle 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.
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Senozan et al. (2024) conducted a case report in Middle aortic syndrome (n=1). Anesthetic management including hemodynamic monitoring and dobutamine stress testing was evaluated. Anesthetic management of an adult with middle aortic syndrome involved hemodynamic monitoring proximal and distal to the narrowing, minimizing spinal cord ischemia risk, and dobutamine stress testing.
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