Key result
General anesthesia safely maintains hemodynamic stability during cesarean delivery in a Loeys-Dietz syndrome case.
Case Report (n=1)
General anesthesia can be successfully managed in pregnant patients with Loeys-Dietz syndrome undergoing cesarean delivery by focusing on hemodynamic stability.
Provides additional peripartum experience in Loeys-Dietz syndrome; leaves open standardized management recommendations.
A 28-year-old primigravida female with Loeys-Dietz syndrome presented at 36 weeks' gestation for scheduled primary elective cesarean delivery. The patient had clinical findings consistent with this diagnosis, including mild aortic root dilation, chronic right vertebral artery dissection with 2 intracerebral aneurysms, and small ectasias of the thecal sac in the lumbar region. Pregnant patients with Loeys-Dietz syndrome have significant risks, including aneurysm rupture, new aneurysm formation, and uterine rupture. After a thorough preoperative evaluation, the patient underwent successful general anesthesia focused on maintenance of intraoperative hemodynamic stability and minimal intraoperative blood loss.
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Cronin et al. (2015) conducted a case report in Loeys-Dietz syndrome in pregnancy (n=1). General anesthesia was evaluated on Successful general anesthesia focused on maintenance of intraoperative hemodynamic stability and minimal intraoperative blood loss. General anesthesia was successfully performed in a 28-year-old pregnant patient with Loeys-Dietz syndrome undergoing cesarean delivery, maintaining hemodynamic stability and minimal blood loss.
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