Epidural analgesia complicated by dural ectasia in the Marfan syndrome.
Patients with the Marfan syndrome are considered to be high risk during pregnancy and warrant a complete multidisciplinary evaluation. One goal is to minimize hemodynamic fluctuations during labor since hypertensive episodes may result in aortic dissection or rupture. Although they may prevent these complications, neuraxial techniques may be complicated by dural ectasia. The case of a parturient with the Marfan syndrome and mild dural ectasia is presented. During attempted labor epidural placement, unintentional dural puncture occurred. A spinal catheter was used for adequate labor analgesia, and a resultant postdural puncture headache was alleviated by an epidural blood patch under fluoroscopic guidance.
Department of Anesthesiology, Texas A&M University Health Science Center College of Medicine and Scott & White Memorial Hospital.
Benjamin B
BB
Vacula
Department of Anesthesiology, Texas A&M University Health Science Center College of Medicine and Scott & White Memorial Hospital.
Chelsea
C
Gray
Department of Anesthesiology, Texas A&M University Health Science Center College of Medicine and Scott & White Memorial Hospital.
Michael P
MP
Hofkamp
Department of Anesthesiology, Texas A&M University Health Science Center College of Medicine and Scott & White Memorial Hospital.
Patrick T
PT
Noonan
Department of Anesthesiology, Texas A&M University Health Science Center College of Medicine and Scott & White Memorial Hospital.
Russell K
RK
McAllister
Department of Anesthesiology, Texas A&M University Health Science Center College of Medicine and Scott & White Memorial Hospital.
Kimberly A
KA
Pilkinton
Department of Anesthesiology, Texas A&M University Health Science Center College of Medicine and Scott & White Memorial Hospital.
Zhiying
Z
Diao
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