Manejo anestésico de una parturienta con síndrome de marfan programada para cesárea: Informe de un caso y revisión de la literatura

Translated title of the contribution: Anesthetic management of a parturient with marfan syndrome scheduled for cesarean section: Case report and review of literature

John N. Laurencio-Ambrosio, Carlos J. Shiraishi-Zapata*, Howard Lee

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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.

Translated title of the contributionAnesthetic management of a parturient with marfan syndrome scheduled for cesarean section: Case report and review of literature
Original languageSpanish
Pages (from-to)300-314
Number of pages15
JournalRevista Mexicana de Anestesiologia
Volume44
Issue number4
DOIs
StatePublished - Oct 1 2021

Keywords

  • Anesthesia obstetrical
  • Marfan syndrome
  • Postoperative complications
  • Pregnant women
  • Shock septic

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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