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Revista mexicana de anestesiología
versión impresa ISSN 0484-7903
Resumen
LAURENCIO-AMBROSIO, John N; SHIRAISHI-ZAPATA, Carlos J y 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 11-Oct-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.
Palabras llave : Pregnant women; Marfan syndrome; anesthesia obstetrical; postoperative complications; shock septic.
