European Journal of Biomedical and Pharmaceutical Sciences

ANAESTHETIC MANAGEMENT OF CASE OF EINSENMENGER SYNDROME POSTED FOR EMERGENCY CAESAREAN SECTION

Dr. Shashank Maladkar, MBBS*, Dr. Vaibhavi Patel, MBBS DA,
Dr. Seema Gandhi MBBS MD (Anaesthesia) and 4Dr. Hiren Patel MBBS

ABSTRACT

Eisenmenger’s syndrome is a cyanotic congenital heart disease that includes pulmonary hypertension with reversed shunt associated with septal defects or patent ductus arteriosus. The decreased systemic vascular resistance associated with pregnancy increases the degree of right to left shunting, thereby carrying substantial risk to both the mother and the foetus. The maternal mortality rate of pregnancy in the presence of Eisenmenger’s syndrome is reported to be as high as 30–70%. We present a case of a 31‑year‑old tertigravida with Eisenmenger’s syndrome who gave birth at 34 weeks of gestation via caesarean section to a live female baby under general anaesthesia. We describe the anaesthetic management for caesarean section in a patient with Eisenmenger’s syndrome. Although pregnancy should be discouraged in women with Eisenmenger’s syndrome, it can be successful.

Keywords: Eisenmenger’s syndrome, ductus arteriosus, anaesthesia, foetus.