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Inadequate Spinal Anesthesia in a Patient with Marfan Syndrome and Dural Ectasia

Sakurai, Asako MD; Miwa, Takaaki MD; Miyamoto, Yoshihisa MD; Mizuno, Yoshiko MD; Ka, Koui MD

doi: 10.1097/ACC.0b013e3182a52898
Case Reports: Case Report

Lumbosacral dural ectasia is frequently observed in patients with Marfan syndrome. Although neuraxial anesthesia is often used in peripartum anesthetic management, few reports describe the effects of dural ectasia on the spread and duration of neuraxial anesthesia. We report a case of combined spinal–epidural anesthesia for a cesarean delivery in a patient with Marfan syndrome in whom complications probably related to dural ectasia occured.

From the Department of Anesthesia, Kanagawa Children’s Medical Center, Yokohama, Kanagawa, Japan.

Accepted for publication June 18, 2013.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Asako Sakurai, MD, Department of Anesthesia, Fujisawa City Hospital, 2-6-1 Fujisawa, Fujisawa, Kanagawa, 251–8550, Japan. Address e-mail to

© 2014 International Anesthesia Research Society
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