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Successful spinal anaesthesia for caesarean section in a patient with Marfan syndrome complicated by dural ectasia

N Skjellerup1

  • 1Christchurch Public Hospital, Canterbury District Health Board, 2 Riccarton Avenue, Christchurch, New Zealand.

International Journal of Obstetric Anesthesia
|August 1, 2018
PubMed

Marfan syndrome is a connective tissue disorder that may be complicated during pregnancy by aortic dissection. Caesarean section may be selected to avoid the haemodynamic challenges of vaginal birth. The common occurrence of dural ectasia in patients with Marfan syndrome is known to be associated with failed neuraxial anaesthesia. This report describes the administration of spinal anaesthesia to a woman with Marfan syndrome, and discusses why a hypobaric bupivacaine and opioid mixture, warmed to 37°C and injected intrathecally with the patient seated, produced successful surgical anaesthesia.

Keywords:
Anaesthetic technique: subarachnoid blockCaesarean sectionMarfan syndrome: dural ectasia

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