Ruptured Aortic Aneurysm in Pregnancy, Anesthetic Management of Endovascular Procedure.

IF 1.1 Q3 ANESTHESIOLOGY Annals of Cardiac Anaesthesia Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI:10.4103/aca.aca_111_23
Richa Chauhan, Ira Balakrishnan, Keshabanand Mishra, Virendra Kumar
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Abstract

Abstract: Advanced pregnancy is associated with a higher risk of complicated aortopathies owing to the physiologic changes in pregnancy. The diagnosis can be elusive due to its rare incidence. The optimal treatment strategy is chosen based on the clinical condition of the patient, gestational age, and the severity of the aortic disease. A healthy young primigravida presented with acute chest pain in the early second trimester, diagnosed as a thoracic aortic aneurysm that had ruptured causing hemothorax. She underwent emergency endovascular repair under general anesthesia. Aortic disease should always be ruled out early in acute chest pain in pregnancy. Expeditious and strategic management helps improve maternal and fetal outcomes.

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妊娠期主动脉瘤破裂,血管内手术的麻醉管理。
摘要:由于妊娠期的生理变化,晚期妊娠发生复杂性主动脉病变的风险较高。由于其罕见的发病率,其诊断可能难以捉摸。最佳治疗策略要根据患者的临床状况、孕龄和主动脉疾病的严重程度来选择。一名健康的初产妇在妊娠后三个月初期出现急性胸痛,诊断为胸主动脉瘤破裂导致血气胸。她在全身麻醉下接受了紧急血管内修复术。妊娠期急性胸痛应及早排除主动脉疾病。迅速而有策略的处理有助于改善孕产妇和胎儿的预后。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
147
审稿时长
26 weeks
期刊介绍: Annals of Cardiac Anaesthesia (ACA) is the official journal of the Indian Association of Cardiovascular Thoracic Anaesthesiologists. The journal is indexed with PubMed/MEDLINE, Excerpta Medica/EMBASE, IndMed and MedInd. The journal’s full text is online at www.annals.in. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ immediately on acceptance. In addition, the journal would allow free access (Open Access) to its contents, which is likely to attract more readers and citations to articles published in ACA. Authors do not have to pay for submission, processing or publication of articles in ACA.
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