title: Lateral Position for Cesarean Delivery Because of Severe Aortocaval Compression in a Patient With Marfan Syndrome: A Case Report.
abstract: Prompt recognition and management of hypotension resulting from aortocaval compression syndrome are essential to optimize the maternal and fetal outcomes. Management involves increasing leftward uterine displacement and sometimes full lateral positioning, although lateral position during cesarean delivery is typically considered to be impractical. We report an obstetric patient case of severe aortocaval compression syndrome resulting in hypotension and loss of consciousness that ultimately underwent cesarean delivery under general anesthesia in the lateral position. Performing cesarean delivery in the lateral position is virtually unreported, and this unique strategy prevented further symptoms of aortocaval compression and enabled safe delivery.
authors.affiliation: From the *Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio; †Department of Obstetrics and Gynecology, The University of Tennessee Health Science Center, Memphis, Tennessee.
authors.forename: John C
authors.initials: JC
authors.lastname: Coffman
authors.forename: Russell L
authors.initials: RL
authors.lastname: Legg
authors.forename: Catherine F
authors.initials: CF
authors.lastname: Coffman
authors.forename: Kenneth R
authors.initials: KR
authors.lastname: Moran
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D001018:Aortic Diseases / Q000150:complications*; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D008382:Marfan Syndrome / Q000150:complications*; D056888:Patient Positioning / Q000379:methods*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D014652:Vascular Diseases / Q000150:complications; D014682:Vena Cava, Inferior