Anesthetic implications of a parturient with moyamoya disease.
A 26-yo primigravida with Moyamoya disease presented to OB triage at 39 weeks for an elective C-section due to breech presentation. The patient had a history of transient ischemic attacks and was on heparin 10,000 units twice a day and baby aspirin weekly for the pregnancy. Her most recent Head CT w/o contrast was normal. The patient received a spinal anesthetic and had an uncomplicated cesarean delivery. In this presentation, we will discuss the anesthetic implications and management of Moyamoya disease in the parturient.
Zhang J, Lepczyk LE, Soto RG. Anesthetic implications of a parturient with moyamoya disease. Presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.