Korean J Anesthesiol.  1999 Apr;36(4):736-739. 10.4097/kjae.1999.36.4.736.

A Case of Anesthetic Management for a Pregnant Woman with Unruptured Cerebral Aneurysm Undergoing Simultaneous Cesarean Section and Aneurysm Clipping: A case report

• Park CD
• Han SM
• Kim CS

• KMID: 2091395
• DOI: http://doi.org/10.4097/kjae.1999.36.4.736

Abstract

Intracranial aneurysm in pregnancy imposes special consideration for both mother and fetus. During newborn delivery, the risk of aneurysmal rupture should be avoided by careful management. We experienced a case of cesarean section and the clipping of aneurysm in 37 years old pregnant woman at the gestational age of 35 weeks. She had suffered from headache since 30 weeks of gestational age and the ptosis of left eye since 33 weeks of gestational age. Ten millimeter-sized aneurysm of posterior communicating artery was found on the cerebral angiogram. After radial artery cannulation, we anesthetized the woman with nitroprusside infusion, thiopental, succinylchoine and nitrous oxide-oxygen-isoflurane gas mixture. Soon after intubation, systolic blood pressure increased from 140 to 150 mmHg during the infusion of sodium nitroprusside. The delivery of a newborn was done 8 min after induction and clipping of aneurysm was done successfully after the end of cesarean section.

Keyword

Surgery, cerebral aneurysm; Pregnancy, Cesarean section; Anesthetic techniques, endotracheal

MeSH Terms

Adult
Aneurysm*
Arteries
Blood Pressure
Catheterization
Cesarean Section*
Female
Fetus
Gestational Age
Headache
Humans
Infant, Newborn
Intracranial Aneurysm*
Intubation
Mothers
Nitroprusside
Pregnancy
Pregnant Women*
Radial Artery
Rupture
Thiopental
Nitroprusside
Thiopental