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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

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

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.