Dear Editor,

We recently anesthetized a patient with complete Kartagener's syndrome undergoing a cesarean section and would like to share our experience conducting this rare case.

Kartagener's syndrome is a subtype of primary ciliary dyskinesia, a rare genetic disorder and its pathophysiology involves the dysfunction or lack of arms of the ciliary protein dynein, responsible for the mechanics of ciliary movement, causing chronic respiratory symptoms. The triad bronchiectasis, rhinosinusitis, and situs inversus, with or without dextrocardia, which defines the syndrome as complete or incomplete, is classic for the diagnosis of the disease. In women, ciliary dyskinesia of the fimbriae impairs the conduction of the oocyte along the uterine tubes, increasing the chance of infertility and ectopic pregnancy. Due to the fertility problems in Kartagener's syndrome, a cesarean section is a very rare situation for anesthesiologists. In a recent published review of 99 cases, only two were in obstetric patients.