Korean J Anesthesiol.  2011 Mar;60(3):214-216. 10.4097/kjae.2011.60.3.214.

Epidural anesthesia for cesarean section in a patient with Marfan syndrome and dural ectasia: A case report

• Kim G
• Ko JS
• Choi DH

• KMID: 2236474
• DOI: http://doi.org/10.4097/kjae.2011.60.3.214

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.

Keyword

Cesarean section; Epidural anesthesia; Marfan syndrome; Pregnancy

MeSH Terms

Anesthesia, Epidural
Anesthesia, Spinal
Cesarean Section
Dilatation, Pathologic
Female
Hemodynamics
Humans
Marfan Syndrome
Pregnancy