Emergency Caesarean Section in a Patient with Undiagnosed Eisenmenger’s Syndrome with Severe Pulmonary Hypertension
Published: June 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/38407.12901
Vandana Talwar, Neha Baduni, Neelam Verma
1. Professor and Consultant, Department of Anaesthesia and Intensive Care, VMMC and Safdarjung Hospital, New Delhi, India.
2. Assistant Professor, Department of Anaesthesia and Intensive Care, VMMC and Safdarjung Hospital, New Delhi, India.
3. Consultant, Department of Anaesthesia, Ramsnehi Hospital, Bhilwara, Rajasthan, India.
Correspondence
Dr. Neha Baduni,
Department of Anaesthesia and Intensive Care, Safdarjung Hospital, New Delhi, India.
E-mail: baduni.neha@gmail.com
Pregnancy is associated with major physiologic changes in various organ systems of the body, especially the cardiovascular system. This is especially dangerous in the presence of pre-existing Pulmonary Artery Hypertension (PAH) and maternal mortality is unacceptably high (30-50%) in such patients. We report the successful perioperative management of a parturient with severe PAH due to an undiagnosed Eisenmenger’s syndrome, posted for emergency caesarean section.
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