Indian Journal of Clinical Anaesthesia
Open Access
  • Year: 2014
  • Volume: 1
  • Issue: 1

Postoperative mortality in a patient with Eisenmenger's syndrome undergoing emergency caesarean section: forewarned but yet to be forearmed

  • Author:
  • Priyam Saikia1, Mridu Paban Nath2,, Marie Ninu3, Ruma Thakuria4, Dipika Choudhury5
  • Total Page Count: 4
  • Page Number: 52 to 55

1M.D, Assistant Professor, Department of Anaesthesiology and Critical Care, Gauhati Medical College and Hospital, Guwahati, Assam, India, Pin-781032

2M.D., Assistant Professor (Cardiac Anesthesia Division), Department of Anaesthesiology and Critical Care, Gauhati Medical College and Hospital, Guwahati, Assam, India, Pin-781032

3M.D, Senior Resident, Department of Anaesthesiology and Critical Care, Northeastern Indira Gandhi Institute of Health and Medical Science, Shillong, Meghalaya, Pin 793018

4M.D, Senior Resident, Department of Anaesthesiology and Critical Care, GNRC Hospitals Limited, North Guwahati, Sila Grant, Assam, India

5M.D., Professor and Head of the Department, Department of Anaesthesiology and Critical Care, Gauhati Medical College and Hospital, Guwahati, Assam, India, Pin-781032

*Corresponding Author: E-mail: drmridupaban@yahoo.com

Online published on 21 March, 2015.

Abstract

Eisenmenger's syndrome includes pulmonary artery hypertension, reversed or bidirectional shunt associated with an atrial septal defect, ventricular septal defect and patent ductus arteriosus. Death can occur at any time during pregnancy as well in the puerperium. We present here a known case of Ventricular septal defect in Eisenmenger syndrome who presented in 29 weeks of gestation with orthopnea. Elective caesarean section was done with post-operative intensive care under general anesthesia uneventfully. The anesthetic management is discussed here.

Keywords

Eisenmenger syndrome, Echocardiography, Lower segment caesarean section