Epidural Anesthesia for Caesarean Section in a Primigravida with Eisenmenger’s Syndrome with Severe Pulmonary Hypertension
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 9
Abstract
Eisenmenger’s syndrome includes pulmonary hypertension with reversed or bi-directional shunt associated with septal defects or a patent ductusarteriosus. Pregnancy carries high mortality rate with a cumulative risk of 30-70%. Hence pregnancy is not advisable.Here we present a case of a 32 year old primigravida who was admitted in medical ICU for complaints of grade IV dyspnea and palpitations and was stabilized in two weeks of treatment. She was diagnosed with Eisenmenger’s syndrome with severe pulmonary hypertension and thereafter underwent an emergency caesarean section under epidural anesthesia successfully. There was no occurrence of any perioperative complication and she was discharged home after one week with advice of postoperative cardiac follow-up.
Authors and Affiliations
B S Chavan, Dr. Amruta A. Raghuvanshi, Dr. Priyanka Gedam
Keywords
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