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Int J Obstet Anesth · Nov 2013
Case ReportsDural ectasia in Marfan's syndrome: magnetic resonance imaging appearances and anaesthetic experience of three deliveries.
- G McNeilly, A Nicholl, J Broadway, and S Rao.
- Department of Anaesthetics, Ipswich Hospital NHS Trust, Heath Road, Ipswich, UK.
- Int J Obstet Anesth. 2013 Nov 1;22(4):337-9.
AbstractNeuraxial anaesthetic techniques are considered useful to minimise haemodynamic stress during labour. In Marfan's syndrome, connective tissue abnormalities not only affect the thoracic aorta but also predispose to dural ectasia. A dural ectatic sac may cause difficulties with neuraxial analgesia and anaesthesia. We discuss magnetic resonance imaging appearances and anaesthetic experience of three deliveries in a parturient with stable echocardiographic findings. We consider that epidural analgesia and anaesthesia are a safe and pragmatic solution for labour and delivery. Lumbo-sacral magnetic resonance imaging at presentation will define dural ectasia and assist in management.Copyright © 2013 Elsevier Ltd. All rights reserved.
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