1/40. Management of splenic artery aneurysm rupture during trial of scar with epidural analgesia.We report a case of ruptured splenic artery aneurysm during labor in which the clinical signs were masked by epidural analgesia. A high index of clinical suspicion must be maintained in cases of atypical epidural breakthrough pain, and attending clinicians must be prepared for the unexpected when faced with a maternal collapse.- - - - - - - - - - ranking = 1keywords = artery (Clic here for more details about this article) |
2/40. Endovascular treatment of cerebral artery aneurysms during pregnancy: report of three cases.Historically, surgical management of cerebral aneurysms during pregnancy has been controversial. Debate originally focused on early versus late intervention, before or after delivery of the fetus. More recently, treatment has centered on rapid intervention. We describe the endovascular treatment of cerebral artery aneurysms with Guglielmi detachable coils in three pregnant women.- - - - - - - - - - ranking = 1keywords = artery (Clic here for more details about this article) |
3/40. fetal heart rate monitoring casebook. Nonreassuring fetal heart rate, attempted instrumental delivery, forceps rotation, cord prolapse during rotation maneuver, and rescue by extreme emergency abdominal delivery.In the course of an attempted instrumental delivery, prolapse of a pulseless umbilical cord occurred, concomitant with total collapse of the fetal heart rate pattern. Rescue was by extreme emergency abdominal delivery.- - - - - - - - - - ranking = 19.466540877281keywords = umbilical (Clic here for more details about this article) |
4/40. Double nuchal umbilical cord and breech presentation. The value of close follow-up.We report the management of a fetus with breech presentation and double nuchal cord in a mother desiring external cephalic version (ECV). The patient was a 26-year-old woman, gravida 1, para 0, with an unremarkable prenatal course, who was found to have a breech presentation at 34 weeks 1 day. She consented for external cephalic version (ECV) and upon evaluation at 36 weeks 2 days, the fetus was found to have double nuchal coils of the umbilical cord. ECV was not attempted. Subsequent fetal surveillance consisted of fetal movement counts, non-stress tests and Doppler ultrasound of the umbilical artery. At 38 weeks 1 day, ultrasound revealed absence of the nuchal coils. ECV was attempted and was successful. The fetus maintained the cephalic presentation and the patient delivered uneventfully. This case report illustrates the value of follow-up ultrasound in a patient who desires an ECV and for whom such a procedure was declined due to the presence of double nuchal coils. Cesarean delivery was successfully avoided.- - - - - - - - - - ranking = 174.45560749954keywords = umbilical artery, umbilical, artery (Clic here for more details about this article) |
5/40. The association of umbilical cord complications and variable decelerations with acid-base findings.Variable decelerations during the last 2 hours of labor were associated with an abnormally positioned umbilical cord at delivery in 52% of cases. In cases where an abnormally positioned umbilical cord was seen at delivery, 89% had been preceded by variable decelerations. Cord compression resulted in an A-V difference in pH that was significantly increased when compared to a control group. This was mainly due to a decrease in the pH of the umbilical artery. The pathophysiology of cord compression is discussed.- - - - - - - - - - ranking = 193.92214837682keywords = umbilical artery, umbilical, artery (Clic here for more details about this article) |
6/40. Bilateral spontaneous vertebral artery dissection: management during labor and vaginal delivery.We report the successful management of labor and delivery of a parturient with a history of spontaneous bilateral vertebral artery dissection. We also outline the reasons why the obstetric anesthetist should be aware of this condition as well as other cranio-cervical dissections.- - - - - - - - - - ranking = 1keywords = artery (Clic here for more details about this article) |
7/40. The use of recombinant factor VIla in a primigravida with Glanzmann's thrombasthenia during delivery.Glanzmann's thrombasthenia is an inherited hemorrhagic disorder characterized by a severe reduction in, or absence of, platelet aggregation in response to multiple physiologic agonists due to qualitative or quantitative abnormalities of platelet glycoprotein IIb-IIIa. Glanzmann's thrombasthenia is characterized by potentially major mucocutaneous bleeding and prolonged bleeding time. Platelet counts, platelet morphology, prothrombin, and activated thromboplastin times are all within normal ranges in patients with Glanzmann's thrombasthenia. pregnancy and delivery are rare in Glanzmann thrombasthenia patients and have been associated with immediate postpartum hemorrhage. We describe the peripartum management of a 31-year-old primipara with Glanzmann's thrombasthenia who underwent spontaneous vaginal delivery. Four units of single-donor platelets, two units of packed red blood cells, 36 microg/kg recombinant human coagulation factor viia (rFVIIa) were given during peripartum management.- - - - - - - - - - ranking = 0.011515427664264keywords = single (Clic here for more details about this article) |
8/40. rupture of splenic artery aneurysm during labor: a case report of maternal and fetal survival.OBJECTIVE: To report a case of splenic artery aneurysm that ruptured during labor with both maternal and fetal survival. CLINICAL PRESENTATION AND INTERVENTION: A 33-year-old primigravida at 42 weeks of gestation was admitted to Adan Hospital for induction of labor. Three days after induction, the patient suddenly collapsed and was found to be hypotensive. abruptio placentae was mistakenly diagnosed, despite the absence of vaginal bleeding, and the patient was immediately taken to the operating room for emergency cesarean section. A female infant was delivered without any evidence of abruptio placentae but with 2,000 ml blood noted in the abdominal cavity. A vertical midline incision was performed and a ruptured splenic artery aneurysm was found. Proximal ligation of the splenic artery was performed followed by splenectomy. Both mother and newborn did well and were discharged on the 7th postoperative day. CONCLUSION: This case illustrates the need to consider ruptured splenic artery aneurysm as part of differential diagnosis of hemoperitoneum in pregnant women. Immediate surgical intervention is needed to ensure survival of both mother and fetus.- - - - - - - - - - ranking = 1.6keywords = artery (Clic here for more details about this article) |
9/40. Twin labour complicated by umbilical cord knotting.We report a case of intrapartum distress of the first twin due to a knot in the umbilical cord. Cord blood flow is reduced according to Poiseuille's law as the knot tightens.- - - - - - - - - - ranking = 97.332704386406keywords = umbilical (Clic here for more details about this article) |
10/40. myocardial ischemia after Cabrol operation.A 33-year-old woman who had undergone a Cabrol-type aortic root replacement for acute aortic dissection during labor 27 months ago was admitted with chest pain. Electron-beam tomography and coronary angiography showed stenosis at the level of the anastomosis. Urgent coronary revascularization was performed using bilateral internal mammary artery grafts. Although graft occlusion after the Cabrol procedure is an infrequent complication, it should be considered during follow-up.- - - - - - - - - - ranking = 0.2keywords = artery (Clic here for more details about this article) |
| | Next -> |