Vasoplegic Syndrome During Cardiopulmonary Bypass in a Twin Pregnancy

Susana Gonzalez Suarez; Maria Consuelo Moncayo Zambrano; Lina Marcela Castano Trujillo

doi:10.5812/aapm-138800

Vasoplegic Syndrome During Cardiopulmonary Bypass in a Twin Pregnancy

Anesth Pain Med. 2023 Oct 1;13(5):e138800. doi: 10.5812/aapm-138800. eCollection 2023 Oct.

Authors

Susana Gonzalez Suarez^{1

2}, Maria Consuelo Moncayo Zambrano², Lina Marcela Castano Trujillo²

Affiliations

¹ Department of Surgery, Autonomous University of Barcelona, Barcelona, Spain.
² Department of Anesthesiology and Intensive Care, Vall d'Hebron University Hospital, Barcelona, Spain.

Abstract

Introduction: The most severe form of hemodynamic instability is vasoplegic syndrome.

Case presentation: This case report presents a case of vasoplegic syndrome in a patient with a twin pregnancy during cardiopulmonary bypass.

Conclusions: In this case, we managed vasoplegia by maintaining high flows of the cardiopulmonary bypass, reducing the use of volatile anesthetics, administering vasoactive drugs, and optimizing hemoglobin levels above normal thresholds.

Keywords: Cardiopulmonary Bypass; Pregnancy; Vasoplegic Syndrome.

Publication types

Case Reports