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Anaesthesia for caesarean section in a patient with Ehlers-Danlos syndrome and mitral valve prolapse

P Dill-Russell1, L S Jones

  • 1Anaesthetic Department, St. Georges' Hospital, Tooting, London, UK. pdilr@yahoo.co.uk

International Journal of Obstetric Anesthesia
|August 24, 2004
PubMed

We report the successful use of single-shot spinal anaesthesia for elective caesarean section in a multigravid woman with Ehlers-Danlos syndrome, complicated by mitral valve prolapse. This is a rare inherited collagen disorder that has been reported to have a high pregnancy-related morbidity and mortality, particularly from uterine rupture and uncontrolled bleeding from friable vessels, coagulopathy and major vessel rupture. The literature concerning obstetric anaesthetic management for different types of Ehlers-Danlos syndrome and the management of mitral valve prolapse in pregnancy are reviewed.

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