Epidural anesthesia for cesarean section in a patient with Marfan syndrome and dural ectasia: A case report.
10.4097/kjae.2011.60.3.214
- Author:
Gahyun KIM
1
;
Justin Sangwook KO
;
Duck Hwan CHOI
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea. dhchoi@skku.edu
- Publication Type:Case Report
- Keywords:
Cesarean section;
Epidural anesthesia;
Marfan syndrome;
Pregnancy
- MeSH:
Anesthesia, Epidural;
Anesthesia, Spinal;
Cesarean Section;
Dilatation, Pathologic;
Female;
Hemodynamics;
Humans;
Marfan Syndrome;
Pregnancy
- From:Korean Journal of Anesthesiology
2011;60(3):214-216
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pregnancy is considered a period of high risk for cardiovascular complications in patients with Marfan syndrome. Therefore the choice of anesthetic technique for delivery should be focused on minimizing hemodynamic fluctuations, and preferably provide adequate post-operative pain control. For this purpose, neuraxial blocks, such as spinal or epidural anesthesia, may be deemed a safe option. However, dural ectasia is present in 63-92% of patients with Marfan syndrome, and the increased amount of cerebrospinal fluid volume is thought to be one of main reasons for spinal anesthesia failure. We report herein the peri-operative management of a patient with Marfan syndrome and dural ectasia for cesarean section using epidural anesthesia.
