Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural Ectasia
Marfan syndrome (MFS) is a genetic disorder of connective tissue, characterized by variable clinical features and multisystem complications. The anesthetic management during delivery is debated. Regional anesthesia has been used with success during cesarean delivery, but in some MFS patients there i...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2017/2126310 |
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| author | Franco Pepe Mariagrazia Stracquadanio Francesco De Luca Agata Privitera Elisabetta Sanalitro Puccio Scarpinati |
| author_facet | Franco Pepe Mariagrazia Stracquadanio Francesco De Luca Agata Privitera Elisabetta Sanalitro Puccio Scarpinati |
| author_sort | Franco Pepe |
| collection | DOAJ |
| description | Marfan syndrome (MFS) is a genetic disorder of connective tissue, characterized by variable clinical features and multisystem complications. The anesthetic management during delivery is debated. Regional anesthesia has been used with success during cesarean delivery, but in some MFS patients there is a probability of erratic and inadequate spread of intrathecal local anesthetics as a result of dural ectasia. In these cases, epidural anesthesia may be a particularly useful technique during cesarean delivery because it allows an adequate spread and action of local anesthetic with a controlled onset of anesthesia, analgesia, and sympathetic block and a low risk of perioperative complications. We report the perioperative management of a patient with MFS and dural ectasia who successfully underwent cesarean section using epidural technique anesthesia. The previous pregnancy of this woman ended with cesarean section with a failed spinal anesthesia that was converted to general anesthesia due to unknown dural ectasia at that time. |
| format | Article |
| id | doaj-art-a55eb50ca61d48feb29fce62974562dd |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-a55eb50ca61d48feb29fce62974562dd2025-02-03T01:04:52ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/21263102126310Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural EctasiaFranco Pepe0Mariagrazia Stracquadanio1Francesco De Luca2Agata Privitera3Elisabetta Sanalitro4Puccio Scarpinati5U.O.C. Ostetricia e Ginecologia e PS, Ospedale Santo Bambino, Catania, ItalyIstituto di Patologia Ostetrica e Ginecologica, Ospedale Santo Bambino, Catania, ItalyU.O. Cardiologia Pediatrica, Ospedale Santo Bambino, Catania, ItalyU.O. Cardiologia Pediatrica, Ospedale Santo Bambino, Catania, ItalyModulo Dipartimentale Anestesia Ostetrica, Ospedale Santo Bambino, Catania, ItalyModulo Dipartimentale Anestesia Ostetrica, Ospedale Santo Bambino, Catania, ItalyMarfan syndrome (MFS) is a genetic disorder of connective tissue, characterized by variable clinical features and multisystem complications. The anesthetic management during delivery is debated. Regional anesthesia has been used with success during cesarean delivery, but in some MFS patients there is a probability of erratic and inadequate spread of intrathecal local anesthetics as a result of dural ectasia. In these cases, epidural anesthesia may be a particularly useful technique during cesarean delivery because it allows an adequate spread and action of local anesthetic with a controlled onset of anesthesia, analgesia, and sympathetic block and a low risk of perioperative complications. We report the perioperative management of a patient with MFS and dural ectasia who successfully underwent cesarean section using epidural technique anesthesia. The previous pregnancy of this woman ended with cesarean section with a failed spinal anesthesia that was converted to general anesthesia due to unknown dural ectasia at that time.http://dx.doi.org/10.1155/2017/2126310 |
| spellingShingle | Franco Pepe Mariagrazia Stracquadanio Francesco De Luca Agata Privitera Elisabetta Sanalitro Puccio Scarpinati Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural Ectasia Case Reports in Obstetrics and Gynecology |
| title | Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural Ectasia |
| title_full | Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural Ectasia |
| title_fullStr | Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural Ectasia |
| title_full_unstemmed | Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural Ectasia |
| title_short | Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural Ectasia |
| title_sort | epidural anesthesia for cesarean section in a pregnant woman with marfan syndrome and dural ectasia |
| url | http://dx.doi.org/10.1155/2017/2126310 |
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