title: [Parkes-Weber syndrome and pregnancy: anaesthetic implications].
abstract: We report two deliveries in a patient with a Parkes-Weber syndrome. This parturient had a complex angiodysplasia including a soft tissue hypertrophy of a lower limb, a cutaneous angioma and arteriovenous malformations. The risk of perimedullar arteriovenous malformations was ruled out by angiographic magnetic resonance imaging of the spinal cord. We also describe other aspects of the management, including prepartum cardiovascular assessment, mode of delivery, the use of epidural analgesia and the prevention of haemorrhagia and thromboembolism.
authors.affiliation: Département d'anesthésie et réanimation, hôpital d'instruction des armées Percy, 101 avenue Henri-Barbusse, Clamart, France.
authors.forename: J-V
authors.initials: JV
authors.lastname: Schaal
authors.forename: D
authors.initials: D
authors.lastname: Benhamou
authors.forename: K
authors.initials: K
authors.lastname: Boyer
authors.forename: F J
authors.initials: FJ
authors.lastname: Mercier
mesh_terms: D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D000925:Anticoagulants / Q000627:therapeutic use; D001165:Arteriovenous Malformations / Q000209:etiology / Q000628:therapy; D004621:Embolization, Therapeutic; D017984:Enoxaparin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007231:Infant, Newborn; D007866:Leg / Q000002:abnormalities / Q000098:blood supply; D018810:Magnetic Resonance Angiography; D008297:Male; D006473:Postpartum Hemorrhage / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications; D018566:Pregnancy, High-Risk; D012878:Skin Neoplasms; D013116:Spinal Cord / Q000098:blood supply; D013341:Sturge-Weber Syndrome; D013923:Thromboembolism / Q000517:prevention & control; D019851:Thrombophilia / Q000188:drug therapy / Q000209:etiology
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin