Key result
General anesthesia for emergency cesarean section in a pregnant patient with thoracic aortic dissection requires careful management to prevent hypertension during intubation and surgery.
Case Report (n=1)
Highlights the importance of preventing hypertension during anesthetic management for emergency cesarean section in pregnant patients with thoracic aortic dissection.
Careful hypertension prevention warrants consideration in such cesareans; case reports leave optimal regimens open to prospective study.
We experienced a case of a cesarean section of a 32-year-old female with an thoracic aortic dissection under general anesthesia. An aortic dissection in pregnancy is rare but a potentially catastrophic occurrence. There is a poor prognosis if an aortic dissection occurs in pregnancy in the third trimester. The importance in anesthetic management of these patients should prevent any hypertension in response to intubation and surgery with appropriate preoperative care and monitoring.
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Jeon et al. (2002) conducted a case report in Thoracic aortic dissection in pregnancy (n=1). General anesthesia was evaluated. General anesthesia for emergency cesarean section in a pregnant patient with thoracic aortic dissection requires careful management to prevent hypertension during intubation and surgery.
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