Weight 76 Kgs; Height 1,72m ✓ Blood Pressure: 103/63 mmHg ✓ Normal Cardiopulmonary function at objective examination. ✓ Pectus escavatum (X-ray reveals primary superior bronquis and thaquea permeable with mild stenosis in low segments) ✓ Airway: Mallampati I, absence of clinicaç predictors for difficult airway. References: Vacula, B et al -Epidural analgesia complicated by dural ectasia in the Marfan syndrome, Proc (Bayl Univ Med Cent). 2016; Rossi, E et al -Neuraxial anesthesia for scoliosis and previous spinal surgeryin pregnancy , wfasahq, 2017 Legend: 1 Resident/Trainee at CHULC; 2 Anesthesiology Assistent at CHULC; 3 Anesthesiology Senior Graduate Assitent and Responsabel for Anesthesia in Obstetric Hospital
CONCLUSIONAlthough regional anaesthesia is the gold standard for C-section, parturients with MFS should have a careful anesthetic plan, considering cardiovascular and skeletal abnormalities that could be a relative contraindication for neuraxial blockage.
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