SciELO - Scientific Electronic Library Online

 
vol.44 issue4History of AnesthesiologySpinal needle fracture. Case report during spinal anesthesia author indexsubject indexsearch form
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista mexicana de anestesiología

Print version ISSN 0484-7903

Abstract

LAURENCIO-AMBROSIO, John N; SHIRAISHI-ZAPATA, Carlos J  and  LEE, Howard. Anesthetic management of a parturient with Marfan syndrome scheduled for cesarean section: case report and review of literature. Rev. mex. anestesiol. [online]. 2021, vol.44, n.4, pp.300-304.  Epub Oct 11, 2021. ISSN 0484-7903.  https://doi.org/10.35366/100876.

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.

Keywords : Pregnant women; Marfan syndrome; anesthesia obstetrical; postoperative complications; shock septic.

        · abstract in Spanish     · text in English     · English ( pdf )