A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome

Gehlot, Ravindra Kr.; Verma, Devendra; Raiger, L. K.

doi:10.1186/s42077-021-00127-9

A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome

Authors

10.1186/s42077-021-00127-9

Abstract

Background
Eisenmenger syndrome belongs to the 0.4–4.1% (incidence) rarely encountered congenital cardiac lesions in pregnancy. Management of a pregnant patient with Eisenmenger syndrome is a challenging task for the anesthesiologist.
Case presentation
Here, we report the successful outcome with the use of low-dose sequential combined spinal–epidural (CSE) anesthesia in a patient with Eisenmenger syndrome posted for cesarean section. Low-dose sequential CSE anesthesia was adequate for the performance of cesarean section with minimal hemodynamic changes and good fetal outcome.
Conclusion
Low-dose sequential CSE can be a safe alternative to achieve good anesthesia with hemodynamic stability in such case.

Keywords