Anesthetic Management of Ovarian Bleeding with Eisenmenger's Syndrome: A case report

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.

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Anesthetic management for abdominal aortic surgery in a patient with a left ventricular assist device: a case report

JA Clinical Reports ◽

10.1186/s40981-015-0011-8 ◽

2015 ◽

Vol 1 (1) ◽

Author(s):

Koko Adachi ◽

Toshihiro Wagatsuma ◽

Takuya Shiga ◽

Hiroaki Toyama ◽

Masanori Yamauchi

Keyword(s):

Case Report ◽

Left Ventricular Assist Device ◽

Anesthetic Management ◽

Aortic Surgery ◽

Left Ventricular ◽

Assist Device ◽

Ventricular Assist ◽

Abdominal Aortic Surgery ◽

Abdominal Aortic ◽

Left Ventricular Assist

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Anesthetic management of a patient with Lennox-Gastaut syndrome with intractable epilepsy -a case report-

Korean Journal of Anesthesiology ◽

10.4097/kjae.2013.65.4.353 ◽

2013 ◽

Vol 65 (4) ◽

pp. 353

Author(s):

Mi-Na Park ◽

Ji-Yeon Kim

Keyword(s):

Case Report ◽

Anesthetic Management ◽

Intractable Epilepsy

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A RARE CASE REPORT ON EISENMENGER’S SYNDROME WITH PREGNANCY : A GLIMPSE OF LIFE IN OCEAN OF DEATH

10.36106/ijsr/1418072 ◽

2021 ◽

pp. 22-23

Author(s):

Tejal L. Patel ◽

Tushar M. Shah ◽

Niti Bhatia ◽

Hemaxi Kotadia ◽

Mohit Shah

Keyword(s):

Case Report ◽

Rare Case ◽

Neonatal Outcome ◽

Eisenmenger Syndrome ◽

Specialist Care ◽

Third Trimester ◽

Healthy Baby ◽

Eisenmenger’S Syndrome ◽

Fetal Wastage ◽

Rare Case Report

Pregnancy complicated with Eisenmenger syndrome is associated with high risk to the fetus as well as the mother. There is approximately 50% risk of sudden maternal death, frequently occuring a few days postpartum and the overall fetal wastage is reported to be up to 75%. Patients with Eisenmenger syndrome are advised to refrain from pregnancy or to terminate pregnancy by the end of rst trimester itself. Management of these patients requires a co- ordinated multi-specialist care when such pregnancies reach a stage where safe termination is not advisable. However, in spite of all the risks, a few patients deliver successfully with a good maternal and neonatal outcome. We present 2 cases reported till third trimester and delivered a healthy baby and were subsequently discharged on the 10th postpartum day without any serious complications.

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