title: Aneurysmal hemorrhage in a pregnant patient with coarctation of aorta: An anesthetic challenge.
abstract: A 25years old female patient with pregnancy of 16weeks (G2P1), diagnosed to have distal anterior cerebral artery aneurysm (DACA) with Hunt & Hess grade I, subarachnoid hemorrhage (SAH) and coexisting atretic type of aortic coarctation posted for aneurysmal clipping under general anesthesia is a challenge to anesthesiologists in perioperative period. Hypertensive surges in a pregnant patient may result in rupture of aneurysms. Mortality in the mothers with CoA has been reported to be in the range of 0 to 9%. Anesthetic management of a pregnancy with CoA and SAH has never been reported.
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: G S
authors.initials: GS
authors.lastname: Tomar
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India. Electronic address: keshavgoyalster@gmail.com.
authors.forename: K
authors.initials: K
authors.lastname: Goyal
authors.affiliation: Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: R
authors.initials: R
authors.lastname: Chandran
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: A
authors.initials: A
authors.lastname: Luthra
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: V
authors.initials: V
authors.lastname: Chauhan
authors.affiliation: Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: N
authors.initials: N
authors.lastname: Kumar
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D001017:Aortic Coarctation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003399:Craniotomy / Q000009:adverse effects*; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery; D019586:Intracranial Hypertension / Q000209:etiology; D007431:Intraoperative Complications / Q000209:etiology; D008012:Lidocaine / Q000008:administration & dosage; D018810:Magnetic Resonance Angiography; D008738:Methyl Ethers / Q000008:administration & dosage; D016343:Monitoring, Intraoperative; D008991:Monitoring, Physiologic; D019990:Perioperative Care / Q000379:methods; D011247:Pregnancy; D000077149:Sevoflurane; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D008738:Methyl Ethers; D000077149:Sevoflurane; D008012:Lidocaine; D005283:Fentanyl
keywords: Coarctation of aorta; General anesthesia; Pregnancy; Subarachnoid hemorrhage