Medicine and Health Sciences Commons^™

Mid Aortic Syndrome Correction: Anaesthetic Considerations And Management, Mohammad Irfan Akhtar, Mohammad Hamid, Muneer Amanullah, Mubashar Khan, Shahabuddin, Mansoor Ahmed Khan

Department of Anaesthesia

A twelve years old female patient presented with headache off and on and disparity between upper and lower limb pressures. On the basis of history, physical examination and magnetic resonance angiography, the patient was diagnosed as mid aortic syndrome and planned for elective aorto aortic bypass graft surgery through left thoracotomy. Double lumen endotracheal tube was placed for lung isolation and episodes of hypertension during proximal and distal cross clamp were controlled with sodium nitropruside infusion (SNP). Extra pleural catheter was put in at the end of surgery before chest wall closure for postoperative pain control. Both upper and lower …