Mid aortic syndrome correction: anaesthetic considerations and management.
A twelve years old female patient presented with headache off and on and disparity between upper and lower limb pressures. On the basis of history, physical examination and magnetic resonance angiography, the patient was diagnosed as mid aortic syndrome and planned for elective aorto aortic bypass graft surgery through left thoracotomy. Double lumen endotracheal tube was placed for lung isolation and episodes of hypertension during proximal and distal cross clamp were controlled with sodium nitropruside infusion (SNP). Extra pleural catheter was put in at the end of surgery before chest wall closure for postoperative pain control. Both upper and lower limb pressures were monitored in the cardiac intensive care unit (CICU) and over a period of twenty four hours, gradient gradually reduced to 10 mm Hg.
Akhtar
Mohammad Irfan
MI
Department of Anaesthesia, The Aga Khan University, Karachi.
Hamid
Mohammad
M
Amanullah
Muneer
M
Khan
Mubashar
M
Shahabuddin
Khan
Mansoor Ahmed
MA
D000768:Anesthesia, General; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D001017:Aortic Coarctation / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D009599:Nitroprusside; D013577:Syndrome
D009599:Nitroprusside