Successful Anesthetic Management of a Ruptured Aorta Complicating Aortic Dissection following Emergency Cesarean Section: A Case Report
A 30-year-old woman who underwent emergency cesarean section due to fetal distress, in our hospital, was admitted to the intensive care unit for close observation because of tachycardia and suspected sepsis. In the intensive care unit, the patient was reintubated and resuscitation started due to uns...
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| Format: | Article |
| Language: | English |
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Knowledge E
2022-05-01
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| Series: | Dubai Medical Journal |
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| Online Access: | https://www.karger.com/Article/FullText/524541 |
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| author | Nadine Borhan Mahmoud Nour Aijaz Abdus Samad Molly Alex Kummelil Deena Mohammad AlQedrah Mamoun Shafaamri |
| author_facet | Nadine Borhan Mahmoud Nour Aijaz Abdus Samad Molly Alex Kummelil Deena Mohammad AlQedrah Mamoun Shafaamri |
| author_sort | Nadine Borhan Mahmoud Nour |
| collection | DOAJ |
| description | A 30-year-old woman who underwent emergency cesarean section due to fetal distress, in our hospital, was admitted to the intensive care unit for close observation because of tachycardia and suspected sepsis. In the intensive care unit, the patient was reintubated and resuscitation started due to unstable hemodynamics and clinical picture of hypovolemic shock and suspected septic shock. Emergency laparotomy, with a multidisciplinary team of obstetric, general, and vascular surgeons, revealed a large retroperitoneal hematoma and a big 3–4 cm long tear with a ruptured infrarenal abdominal aortic wall. Vascular surgeons resected the dissected and ruptured part of the aorta and repaired it with a synthetic graft. The anesthetic management included massive blood and blood product transfusion, invasive hemodynamic monitoring, management of hypotension, hypertension, and transient pulmonary edema due to aortic clamping and massive transfusion. The patient was further managed in the intensive care unit and underwent multiple surgeries due to anterior abdominal wall wound and sequelae. She was finally discharged home, after 66 days, in stable condition. |
| format | Article |
| id | doaj-art-bc08f3afe5f246a784fbf7f9a0bad370 |
| institution | OA Journals |
| issn | 2571-726X |
| language | English |
| publishDate | 2022-05-01 |
| publisher | Knowledge E |
| record_format | Article |
| series | Dubai Medical Journal |
| spelling | doaj-art-bc08f3afe5f246a784fbf7f9a0bad3702025-08-20T02:17:59ZengKnowledge EDubai Medical Journal2571-726X2022-05-011510.1159/000524541524541Successful Anesthetic Management of a Ruptured Aorta Complicating Aortic Dissection following Emergency Cesarean Section: A Case ReportNadine Borhan Mahmoud Nour0Aijaz Abdus Samad1Molly Alex Kummelil2Deena Mohammad AlQedrah3Mamoun Shafaamri4Emergency Intensive Care & Anesthesia Department, Latifa Hospital, Dubai Health Authority, Dubai, United Arab EmiratesEmergency Intensive Care & Anesthesia Department, Latifa Hospital, Dubai Health Authority, Dubai, United Arab EmiratesEmergency Intensive Care & Anesthesia Department, Latifa Hospital, Dubai Health Authority, Dubai, United Arab EmiratesVascular and Endovascular Surgery Section, Surgical Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesVascular and Endovascular Surgery Section, Surgical Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab EmiratesA 30-year-old woman who underwent emergency cesarean section due to fetal distress, in our hospital, was admitted to the intensive care unit for close observation because of tachycardia and suspected sepsis. In the intensive care unit, the patient was reintubated and resuscitation started due to unstable hemodynamics and clinical picture of hypovolemic shock and suspected septic shock. Emergency laparotomy, with a multidisciplinary team of obstetric, general, and vascular surgeons, revealed a large retroperitoneal hematoma and a big 3–4 cm long tear with a ruptured infrarenal abdominal aortic wall. Vascular surgeons resected the dissected and ruptured part of the aorta and repaired it with a synthetic graft. The anesthetic management included massive blood and blood product transfusion, invasive hemodynamic monitoring, management of hypotension, hypertension, and transient pulmonary edema due to aortic clamping and massive transfusion. The patient was further managed in the intensive care unit and underwent multiple surgeries due to anterior abdominal wall wound and sequelae. She was finally discharged home, after 66 days, in stable condition.https://www.karger.com/Article/FullText/524541abdominal aortic dissectionpregnancyanesthesiamanagementruptured aortic dissection |
| spellingShingle | Nadine Borhan Mahmoud Nour Aijaz Abdus Samad Molly Alex Kummelil Deena Mohammad AlQedrah Mamoun Shafaamri Successful Anesthetic Management of a Ruptured Aorta Complicating Aortic Dissection following Emergency Cesarean Section: A Case Report Dubai Medical Journal abdominal aortic dissection pregnancy anesthesia management ruptured aortic dissection |
| title | Successful Anesthetic Management of a Ruptured Aorta Complicating Aortic Dissection following Emergency Cesarean Section: A Case Report |
| title_full | Successful Anesthetic Management of a Ruptured Aorta Complicating Aortic Dissection following Emergency Cesarean Section: A Case Report |
| title_fullStr | Successful Anesthetic Management of a Ruptured Aorta Complicating Aortic Dissection following Emergency Cesarean Section: A Case Report |
| title_full_unstemmed | Successful Anesthetic Management of a Ruptured Aorta Complicating Aortic Dissection following Emergency Cesarean Section: A Case Report |
| title_short | Successful Anesthetic Management of a Ruptured Aorta Complicating Aortic Dissection following Emergency Cesarean Section: A Case Report |
| title_sort | successful anesthetic management of a ruptured aorta complicating aortic dissection following emergency cesarean section a case report |
| topic | abdominal aortic dissection pregnancy anesthesia management ruptured aortic dissection |
| url | https://www.karger.com/Article/FullText/524541 |
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