The surgical treatment of pregnant patient with ruptured aneurysm of internal carotid artery in acute period of subarachnoid hemorrhage
https://doi.org/10.17650/1683-3295-2016-0-2-63-69
Abstract
The subarachnoid hemorrhage (SAH) during pregnancy is rare but extremely dangerous pathology because of high mortality and morbidity in both mothers and children. Objective: to present the treatment strategy of pregnant patient in acute period of SAH and literature review data. Material and methods. The literature review was performed as well as clinical observation of pregnant patient (22-23 weeks of dichorial biamniotic pregnancy) with estimation of medical reports and follow-up results. Results. The successful surgical treatment of patient with dichorial biamniotic pregnancy (22-23 weeks of gestation) suffered from rupture of ICA aneurysm in acute period of SAH was performed. The choice of surgical strategy was determined by necessity of aneurysm elimination and cerebral angiospasm treatment as well as the desire for life surviving of both mother and 2 children. Conclusion. The urgent surgical treatment of ruptured aneurysm which allows keeping the pregnancy must be perform in pregnant patients with ruptured aneurysm in acute period of SAH.
About the Authors
V. S. Kolotvinov
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
O. V. Marchenko
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
O. V. Butunov
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
E. N. Rudnik
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
D. V. Bel’Skii
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
I. R. Ulitskii
МАУ «Городская клиническая больница №40»; ГБОУ ВПО УГМУ
Russian Federation
Russian Federation
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Review
For citations:
Kolotvinov V.S., Marchenko O.V., Butunov O.V., Rudnik E.N., Bel’Skii D.V., Ulitskii I.R. The surgical treatment of pregnant patient with ruptured aneurysm of internal carotid artery in acute period of subarachnoid hemorrhage. Russian journal of neurosurgery. 2016;(2):63-69. (In Russ.) https://doi.org/10.17650/1683-3295-2016-0-2-63-69
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