AI Article Synopsis
- Hereditary hemorrhagic telangiectasia (HHT) is a rare genetic disorder that can lead to bleeding issues due to blood vessel malformations, necessitating special anesthetic considerations during cesarean deliveries.
- A 27-year-old woman with a history of HHT and pulmonary hemorrhage was scheduled for a cesarean delivery but was found to have a spinal arteriovenous malformation (AVM) via MRI, leading to a shift from spinal to general anesthesia.
- The case highlights the importance of considering HHT in patients with pulmonary bleeding during pregnancy and utilizing spinal MRI to guide anesthetic choices for safer delivery outcomes.
Article Abstract
Background: Hereditary hemorrhagic telangiectasia (HHT), also known as Rendu-Osler-Weber syndrome, is a rare autosomal dominant disorder characterized by mucocutaneous telangiectasia and arteriovenous malformations (AVMs). There are some anesthetic considerations for cesarean delivery in a parturient with HHT.
Case Presentation: A 27-year-old parturient with pulmonary hemorrhage was admitted to our tertiary perinatal center. She was first diagnosed with HHT and a cesarean delivery using spinal anesthesia at 37 weeks of gestation was initially planned. However, magnetic resonance imaging (MRI) at 32 weeks of gestation revealed spinal AVM ranging from the thoracic to the lumbar levels. Thus, elective cesarean delivery under general anesthesia was planned. The parturient had an uneventful perioperative course.
Conclusions: HHT should be considered as a differential diagnosis when parturients develop pulmonary hemorrhage. In a cesarean delivery of parturients with HHT, spinal MRI during pregnancy can help in deciding the anesthetic procedure to be used.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921269 | PMC |
| http://dx.doi.org/10.1186/s40981-021-00420-4 | DOI Listing |
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