Anesthetic management of cesarean section in a patient with Takayasu’s arteritis: a case report

JA Clinical Reports

Midoriko Higashi¹  Miho Yoshimura¹  Makoto Sumie¹  Ken Yamaura¹  Kazuhiro Shirozu¹  Katsuyuki Matsushita¹  Taichi Ando²  Jun Maki³  Shoichi Sasaki⁴  Keiko Nobukuni⁴ 

[1] Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan;Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan;Intensive Care Unit, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan;Intensive Care Unit, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan;Operating Rooms, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812-8582, Fukuoka, Japan;

关键词: Cesarean section;    Spinal anesthesia;    Takayasu’s arteritis;   

DOI  :  10.1186/s40981-021-00494-0

来源: Springer

【 摘 要 】

BackgroundTakayasu’s arteritis (TA) is a chronic, progressive, inflammatory arteritis. We presented the case of cesarean section in a patient with TA.Case presentationA 31-year-old pregnant woman with TA underwent a planned cesarean section at 34 weeks of pregnancy. She had stenosis of the cerebral and coronary arteries and heart failure due to aortic regurgitation. Spinal anesthesia was performed. In addition to standard monitoring, arterial blood pressure in the dorsalis pedis artery and regional cerebral tissue oxygen saturation were monitored. Intraoperative arterial blood pressure was maintained using continuous infusion of noradrenaline with a careful intermittent bolus infusion of phenylephrine. All the procedures were successfully performed without significant complications.ConclusionsIn a pregnant woman with TA, severe stenosis of the cerebral and coronary arteries, and heart failure due to valvular heart disease, careful anesthetic management by selecting catecholamines and assessing the perfusion pressure for critical organs is important.

【 授权许可】

CC BY