Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor

A 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery....

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Main Authors:	Christiano dos Santos e Santos, David A. Joyner, Cristiane A. Tuma Santos, Bernadette E. Grayson, Arthur Calimaran, Douglas R. Bacon
Format:	Article
Language:	English
Published:	Hindawi Limited 2020-01-01
Series:	Case Reports in Anesthesiology
Online Access:	http://dx.doi.org/10.1155/2020/6893587

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spelling	doaj-6286e2319514406dbe7a303725e01ade2020-11-25T02:38:45ZengHindawi LimitedCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/68935876893587Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active LaborChristiano dos Santos e Santos0David A. Joyner1Cristiane A. Tuma Santos2Bernadette E. Grayson3Arthur Calimaran4Douglas R. Bacon5Department of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Radiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Radiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USADepartment of Anesthesiology, University of Mississippi Medical Center, Jackson, MS, USAA 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery. Aiming for cardiovascular stability and immediate reduction of sympathetic activity, a combined spinal epidural was successfully placed. An uneventful cesarean section was performed. The patient was transferred to the intensive care unit neurologically intact and discharged home after 8 days. This report describes an unusual anesthetic management of a patient with a large AVM in active labor.http://dx.doi.org/10.1155/2020/6893587
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Christiano dos Santos e Santos David A. Joyner Cristiane A. Tuma Santos Bernadette E. Grayson Arthur Calimaran Douglas R. Bacon
spellingShingle	Christiano dos Santos e Santos David A. Joyner Cristiane A. Tuma Santos Bernadette E. Grayson Arthur Calimaran Douglas R. Bacon Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor Case Reports in Anesthesiology
author_facet	Christiano dos Santos e Santos David A. Joyner Cristiane A. Tuma Santos Bernadette E. Grayson Arthur Calimaran Douglas R. Bacon
author_sort	Christiano dos Santos e Santos
title	Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_short	Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_full	Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_fullStr	Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_full_unstemmed	Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor
title_sort	alternative to general anesthesia for a stat cesarean delivery in a patient with a large arteriovenous malformation involving the cervicomedullary junction in active labor
publisher	Hindawi Limited
series	Case Reports in Anesthesiology
issn	2090-6382 2090-6390
publishDate	2020-01-01
description	A 20-year-old G1P0 patient at 38 weeks and 1 day of gestation was admitted for emergency cesarean delivery. Her past medical history was positive for cervicomedullary arteriovenous malformation (AVM) that ruptured three years before. Spontaneous vaginal delivery was contraindicated by neurosurgery. Aiming for cardiovascular stability and immediate reduction of sympathetic activity, a combined spinal epidural was successfully placed. An uneventful cesarean section was performed. The patient was transferred to the intensive care unit neurologically intact and discharged home after 8 days. This report describes an unusual anesthetic management of a patient with a large AVM in active labor.
url	http://dx.doi.org/10.1155/2020/6893587
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Alternative to General Anesthesia for a Stat Cesarean Delivery in a Patient with a Large Arteriovenous Malformation Involving the Cervicomedullary Junction in Active Labor

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