Syndrome de Parkes-Weber et grossesse : implications anesthésiques |
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| Authors: | J.-V. Schaal D. Benhamou K. Boyer F.J. Mercier |
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| Affiliation: | 1. Département d’anesthésie et réanimation, hôpital d’instruction des armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France;2. Département d’anesthésie-réanimation des hôpitaux universitaires Paris-Sud, hôpital Bicêtre, AP–HP, 78, rue Général-Leclerc, 94270 Le Kremlin-Bicêtre, France;3. Service de gynécologie-obstétrique, hôpitaux universitaires Paris-Sud, hôpital Antoine-Béclère, AP–HP, 157, rue Porte-de-Trivaux, 92140 Clamart, France;4. Département d’anesthésie-réanimation des hôpitaux universitaires Paris-Sud, hôpital Antoine-Béclère, AP–HP, 157, rue Porte-de-Trivaux, BP 405, 92141 Clamart, France |
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| Abstract: | We report two deliveries in a patient with a Parkes-Weber syndrome. This parturient had a complex angiodysplasia including a soft tissue hypertrophy of a lower limb, a cutaneous angioma and arteriovenous malformations. The risk of perimedullar arteriovenous malformations was ruled out by angiographic magnetic resonance imaging of the spinal cord. We also describe other aspects of the management, including prepartum cardiovascular assessment, mode of delivery, the use of epidural analgesia and the prevention of haemorrhagia and thromboembolism. |
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| Keywords: | Syndrome de Parkes-Weber Analgé sie pé ridurale Malformation arté rioveineuse |
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