Perioperative anesthetic management of interrupted aortic arch associated with severe pulmonary hypertension in a young adult: case report and review of the literature

Anesthetic management of patients with severe pulmonary hypertension combined with a difficult airway is challenging. The present case suggests that the use of venoarterial extracorporeal membrane oxygenation is useful for safe anesthetic management.

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Interrupted Aortic Arch or Extreme Coarctation? A Case Report and Review of the Literature

The Heart Surgery Forum ◽

10.1532/hsf98.20101100 ◽

2011 ◽

Vol 14 (3) ◽

pp. 188 ◽

Cited By ~ 7

Author(s):

Onder Teskin ◽

A. Umit Gullu ◽

Sahin Senay ◽

E. Murat Okten ◽

Cem Alhan

Keyword(s):

Case Report ◽

Aortic Arch ◽

Aortic Coarctation ◽

Interrupted Aortic Arch ◽

Review Of The Literature ◽

Adult Age ◽

Microscopic Pathology ◽

Hallmark Feature ◽

Aortic Interruption

The hallmark feature of aortic interruption that is useful in differentiating it from aortic coarctation is the "complete absence" of continuity between both parts of the interrupted segment. In this study, we reviewed the 28 patients diagnosed with isolated interrupted aortic arch (IAA) who reached adult age (> 20 years), aimed to review the validity of the Celoria-Patton classification in the literature, and reported the first microscopic pathology of the IAA in an adult.

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Isolated Interrupted Aortic Arch: A Case Report and Review of the Literature

The International Journal of Cardiac Imaging ◽

10.1023/b:caim.0000041940.14780.1c ◽

2004 ◽

Vol 20 (5) ◽

pp. 389-392 ◽

Cited By ~ 19

Author(s):

Ramazan Akdemir ◽

Hakan Ozhan ◽

Enver Erbilen ◽

Mehmet Yazici ◽

Hüseyin Gündüz ◽

...

Keyword(s):

Case Report ◽

Aortic Arch ◽

Interrupted Aortic Arch ◽

Review Of The Literature

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Latent Congenital Defect: Interrupted Aortic Arch in an Adult—Case Report and Literature Review

Vascular and Endovascular Surgery ◽

10.1177/1538574410369566 ◽

2010 ◽

Vol 44 (5) ◽

pp. 402-406 ◽

Cited By ~ 8

Author(s):

Timothy Sakellaridis ◽

Mihalis Argiriou ◽

Victor Panagiotakopoulos ◽

Athanasios Krassas ◽

Orestis Argiriou ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Aortic Arch ◽

Interrupted Aortic Arch ◽

Congenital Defect ◽

Adult Case

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Cesarean Delivery in Severe Pulmonary Hypertension: A Case Report

Medicina ◽

10.3390/medicina48030022 ◽

2012 ◽

Vol 48 (3) ◽

pp. 22

Author(s):

Kęstutis Rimaitis ◽

Asta Aliuškevičienė ◽

Dalia Adukauskienė ◽

Marius Rimaitis ◽

Andrius Macas

Keyword(s):

Pulmonary Hypertension ◽

Case Report ◽

High Risk ◽

Anesthetic Management ◽

Elective Cesarean Section ◽

Severe Pulmonary Hypertension ◽

Hypertension In Pregnancy ◽

Elective Cesarean ◽

Multiprofessional Approach ◽

In Pregnancy

Pregnancy in a woman with pulmonary hypertension carries a prohibitively high risk of maternal mortality, and pregnancy is contraindicated in such patients. Some women decide to continue with their pregnancy despite being aware of possible fatal maternal outcome. The management of pulmonary hypertension in pregnancy is a challenge and requires a multiprofessional approach. We report the case of a patient with severe pulmonary hypertension, who successfully underwent elective cesarean section under epidural anesthesia at 38 weeks of gestation and discuss major issues associated with the obstetric and anesthetic management of pregnant patients with pulmonary hypertension.

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