• A & A case reports · Sep 2017

    Case Reports

    Perioperative Anesthetic Management for Cesarean Delivery in a Parturient With Type IV Loeys-Dietz Syndrome: A Case Report.

    • Ravish Kapoor, David G Mann, and Emad B Mossad.
    • From the *University of Texas MD Anderson Cancer Center, Houston, Texas; and †Texas Children's Hospital, Houston, Texas.
    • A A Case Rep. 2017 Sep 15; 9 (6): 182-185.

    AbstractLoeys-Dietz syndrome (LDS) is a rare connective tissue disorder predisposing to aortic and arterial aneurysms. Presentations are classified into subtypes based on gene mutations. Pregnancy in patients with LDS is considered very high risk due to the potential for aortic dissection and uterine rupture. We report successful management of an elective cesarean delivery in a 16-year-old patient with LDS type IV using epidural anesthesia. Perioperative considerations and multidisciplinary management specific to taking care of parturients with LDS are discussed.

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