Key result
Thorough preoperative check-up in a young hypertensive male scheduled for intracranial aneurysm coiling led to the diagnosis of coarctation of the aorta, completely changing the treatment plan.
Why the study?
The authors report this case to emphasize the need for a thorough preoperative check-up and to address anesthetic considerations when coarctation of aorta is diagnosed prior to intracranial aneurysm coiling.
Case Report (n=1)
Highlights the importance of thorough preoperative evaluation, which in this case revealed undiagnosed coarctation of the aorta in a young hypertensive patient scheduled for aneurysm coiling.
Thorough preoperative evaluation may uncover comorbidities altering management; this case leaves open whether targeted screening improves outcomes.
We describe our experience of management of a young hypertensive male taken up for coiling of an unruptured intracranial aneurysm whom we diagnosed to be a case of coarctation of aorta during preanesthetic check-up. This diagnosis changed the treatment of the patient completely. We report this to emphasize the need to do a thorough preoperative check-up in every case. We also touch upon the important anesthetic considerations to be observed while managing such cases.
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Paul et al. (2019) conducted a case report in Coarctation of aorta and unruptured intracranial aneurysm (n=1). Preoperative check-up and anesthetic management was evaluated. Thorough preoperative check-up in a young hypertensive male scheduled for intracranial aneurysm coiling led to the diagnosis of coarctation of the aorta, completely changing the treatment plan.
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