A case of cesarean section preceded by coil embolization for subarachnoid hemorrhage under general anesthesia

Yoshifumi Okada, Tomoko Hayasaka, Satoko Chiba, Ryou Nishino, Yasuhiro Endo, Masanori Yamauchi

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of subarachnoid hemorrhage due to rupture of a cerebral aneurysm in a 29-year-old woman in the 34th week of pregnancy. The aneurysm at the anterior communicating artery was up to 10 mm in diameter on magnetic resonance imaging and scheduled for emergent coil embolization. Simultaneously, obstetricians determined that cesarean section should be performed. Maintaining anesthesia by propofol and remifentanil, coil embolization was first performed to avoid aneurism re-rupture, and the patient was then transferred from an angiography room to an operating room where a cesarean section was performed. After delivery, fentanyl 600μg was intravenously administered, and the patient was extubated immediately after the operation without any complaints. The neonate (weighing 1,882 g, Apgar score 4 at 1 min and 5 at 5 min) also recovered with no complications after 24 hr artificial ventilation. In conclusion, intravenous anesthesia mainly with remifentanil is adequate for a pregnant patient receiving cesarean section preceded by neurosurgery.

Original languageEnglish
Pages (from-to)989-991
Number of pages3
JournalJapanese Journal of Anesthesiology
Volume64
Issue number9
Publication statusPublished - 2015 Sep 1

Keywords

  • Cesarean section
  • Coil embolization
  • Pregnancy
  • Remifentanil
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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