Anesthetic management of a parturient with Marfan syndrome scheduled for cesarean section: case report and review of literature

Abstract: Introduction: Marfan syndrome is an inherited disorder that affects connective tissue. Case: We report the anesthetic management of a parturient with Marfan syndrome scheduled for an elective C-section. Successful use of a combined spinal-epidural technique was used to provide neuraxial anesthesia; however, she presented an unfavorable evolution due to maternal sepsis. Likewise, a literature review of combined spinal-epidural anesthesia for C-sections in Marfan syndrome pregnant women was performed. Conclusion: Anesthetic management of parturients affected by Marfan syndrome during the cesarean section can be challenging. Strict blood pressure control during the intraoperative period has cornerstone importance. Likewise, neuraxial techniques have a significant percentage of failure in these patients.

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Bibliographic Details
Main Authors: Laurencio-Ambrosio,John N, Shiraishi-Zapata,Carlos J, Lee,Howard
Format: Digital revista
Language:English
Published: Colegio Mexicano de Anestesiología A.C. 2021
Online Access:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0484-79032021000400300
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