Key result
Tailored anesthesia and upper/lower limb BP monitoring minimize hemodynamic disturbances during two aortic coarctation Cesarean deliveries.
Why the study?
Management of anesthesia and blood pressure monitoring during Cesarean section in pregnant patients with aortic coarctation requires careful hemodynamic control.
Case Report (n=2)
Multidisciplinary care and careful hemodynamic monitoring, including upper and lower limb blood pressure measurement, are essential for the safe anesthesia management of pregnant patients with aortic coarctation undergoing Cesarean section.
May inform peripartum anesthesia planning in aortic coarctation; leaves open generalizability and requires prospective validation.
We present two pregnant patients with aortic coarctation: 1) a 30-year-old woman with a history of surgically repaired aortic coarctation. 2) An 18-year-old woman with a history of PDA, VSD, and aortic coarctation. Both patients received antenatal care involving obstetrics, anesthesia, and cardiology; and both delivered by elective Cesarean section. We used general anesthesia in the first patient and epidural anesthesia in the second one. We monitored blood pressure in both upper and lower limbs non-invasively in the first patient and invasively in the second one. Perioperative management focused on minimizing hemodynamic disturbances.
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Nima Nazari (2019) conducted a case report in Aortic coarctation in pregnancy (n=2). Anesthesia management and blood pressure monitoring was evaluated on Hemodynamic disturbances. Tailored anesthesia management and upper/lower limb blood pressure monitoring minimized hemodynamic disturbances in two pregnant patients with aortic coarctation undergoing Cesarean section.
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