Anesthetic management for cesarean section in two parturient with ascending aortic aneurysm: a case-based discussion

Abstract

Abstract Background The anesthetic management of parturients with ascending aortic aneurysm for cesarean section can be particularly challenging, primarily because of increased risk for aortic dissection or aneurysm rupture. Case presentation We present some aspects of the anesthetic management of two parturients with ascending aortic aneurysm for cesarean sections; amongst, the use of remifentanil with its effects on patient and newborn. We emphasize the importance of a cardio-obstetric team in the context of preoperative planning of such patients. Also, we reviewed some literature on the anesthetic management with its effect on peri-operative hemodynamic stability. Conclusion Maintaining hemodynamic stability is paramount in the prevention of the rupture or dissection of ascending aortic aneurysm during labor of parturient.

Keywords

• Anesthesia
• Cesarean section
• Ascending aortic aneurysm
• Aortic dissecting aneurysm
• Ruptured aneurysm
• Remifentanil