Anesthetic management of a patient with Klippel-Trenaunay syndrome for caesarean section

Kengo Hayamizu, Ken Yamaura, Mariko Hayamizu, Tadashi Kandabashi, Sumio Hoka

Research output: Contribution to journalArticle

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Abstract

Klippel-Trenaunay syndrome (KTS) is characterized by capillary and venous malformation and hypertrophy of bone and soft tissues. A 29-year-old Primigravida, who had been diagnosed of KTS by her hemangiomas and varicosities in the right leg, pubic area, rectum, vagina and lower abdominal area, was scheduled to receive caesarean section at 37 weeks gestation because vaginal delivery might cause hemorrhagic complications and extension of the venous lesions. Regional anesthesia was avoided because of the possible injuries of unknown venous malformations or varicose veins in the epidural or spinal space. The cesarean section was performed under general anesthesia uneventfully and an infant was delivered normally. There were no complications such as massive hemorrhage, disseminated intravascular coagulation and deep venous thrombosis in the perioperative period. Careful anesthetic considerations for the prevention of hemorrhagic and thrombotic complications are necessary for cesarean section in a patient with KTS.

Original languageEnglish
Pages (from-to)893-895
Number of pages3
JournalJapanese Journal of Anesthesiology
Volume61
Issue number8
Publication statusPublished - Aug 2012

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Klippel-Trenaunay-Weber Syndrome
Cesarean Section
Anesthetics
Perioperative Period
Conduction Anesthesia
Disseminated Intravascular Coagulation
Varicose Veins
Vagina
Hemangioma
Rectum
Venous Thrombosis
General Anesthesia
Hypertrophy
Leg
Hemorrhage
Bone and Bones
Pregnancy
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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Anesthetic management of a patient with Klippel-Trenaunay syndrome for caesarean section. / Hayamizu, Kengo; Yamaura, Ken; Hayamizu, Mariko; Kandabashi, Tadashi; Hoka, Sumio.

In: Japanese Journal of Anesthesiology, Vol. 61, No. 8, 08.2012, p. 893-895.

Research output: Contribution to journalArticle

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