Thromboelastography with platelet mapping to guide anesthetic management of emergency cesarean delivery in a patient with thrombasthenia: a case report

Background Perinatal management of congenital platelet dysfunction represents a challenge. One of the major concerns is whether neuraxial anesthesia can be applicable for cesarean delivery. We present a patient with thrombasthenia who underwent emergency cesarean delivery. Case presentation A 34-yea...

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Bibliographic Details
Published in:JA clinical reports 2023-05, Vol.9 (1), p.30-30, Article 30
Main Authors: Akinaga, Chieko, Kawashima, Shingo, Suzuki, Yuji, Matsumoto, Masako, Nakajima, Yoshiki
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Blood platelets
Case Report
Case reports
Cesarean section
Critical Care Medicine
Emergency Medicine
Intensive
Medicine
Medicine & Public Health
Pain Medicine
Platelet function tests
Pregnancy
Spinal anesthesia
Thrombasthenia
Thromboelastography
Viscoelasticity
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Summary:Background Perinatal management of congenital platelet dysfunction represents a challenge. One of the major concerns is whether neuraxial anesthesia can be applicable for cesarean delivery. We present a patient with thrombasthenia who underwent emergency cesarean delivery. Case presentation A 34-year-old primipara was diagnosed with autosomal dominant thrombasthenia, which was not classified as any known type. A thorough examination revealed that adenosine diphosphate aggregation and collagen aggregation were suppressed. Platelet mapping of viscoelastic testing was used to observe the trajectory of platelet function during pregnancy, which was found to be normal to hypercoagulable until 38 weeks of gestation. On the basis of the results of testing and physiological status, we commenced spinal anesthesia and avoided prophylactic platelet transfusion. Conclusion The platelet mapping of viscoelastic testing was rapid and simple, allowing repeated examinations. We could choose the appropriate anesthesia method and determine the necessity of blood transfusion for a pregnant patient with thrombasthenia.
ISSN:2363-9024
2363-9024
DOI:10.1186/s40981-023-00623-x