Peripartum Anesthetic Management and Genomic Analysis of Rare Variants in a Patient with Familial Pulmonary Fibrosis

Shigekazu Sugino, Brandon J. Bortz, Sonia Vaida, Kunal Karamchandani, Piotr K. Janicki

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

A 29-year-old patient, 32 weeks' pregnant, with a history of familial interstitial fibrosis, was treated for acute hypoxemia after admission to the intensive care unit. Within 48 hours, this was followed by an emergent cesarean delivery, under general anesthesia, due to acute respiratory failure. Successful perinatal obstetric and anesthetic management resulted in the delivery of a baby and recovery of the mother. Subsequent genomic analysis using next-generation sequencing of the patient's entire exome revealed that she was a carrier of a deleterious mutation in the TERT gene, previously associated with the hereditary forms of interstitial fibrosis.

Original languageEnglish (US)
Pages (from-to)169-172
Number of pages4
JournalA & A case reports
Volume5
Issue number10
DOIs
StatePublished - Nov 15 2015
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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