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Combined Spinal-Epidural Anesthesia for an Elective Cesarean Section in a Marfan Patient with a History of Bentall Operation Who Developed an Acute Extensive Aortic Dissection: A Case Report

Abstract

Aortic dissection during pregnancy is a critical event for both the mom and the fetus. We present a case report of combined spinal-epidural anesthesia for aortic dissection (Stanford type B) in a parturient woman with Marfan syndrome at her 37th week of gestation and had a history of Bentall procedure 3 years ago. There is no standard consensus about pregnancy and aortic dissection, so our case is an original one which can enrich the anesthesia management in this uncommon situation.

Mohammed Abdelsalam Menshawi*, Islam Mohammed Shehata, Bahaa El-din Hassan Ewees

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