Anesth Pain Med.  2006 Oct;1(2):116-119.

Anesthesia for Cesarean Section in a Parturient Patient with Eisenmenger's Syndrome : A case report

• Lee BJ

Abstract

Eisenmenger's syndrome is defined as the process in which a left-to-right shunt in the heart causes increased flow through the pulmonary vasculature. This causes pulmonary hypertension that in turn causes increased pressures in the right side of the heart and reversal of the shunt into a right-to-left shunt. All the patients with Eisenmenger's syndrome are at a markedly increased risk and they have a poor prognosis. We experienced a case of a 29-year-old woman, who was 35 weeks pregnant, with Eisenmenger's syndrome. We carefully performed epidural anesthesia with a fractionated dose of 2% lidocaine and fentanyl. The sensory block reached to the T10 level. The blood pressure was controlled using an infusion of phenylephrine. The patient was discharged for home 12 days later without any complications.

Keyword

cesarean section; Eisenmenger's syndrome; epidural anesthesia

MeSH Terms

Adult
Anesthesia*
Anesthesia, Epidural
Blood Pressure
Cesarean Section*
Eisenmenger Complex*
Female
Fentanyl
Heart
Humans
Hypertension, Pulmonary
Lidocaine
Phenylephrine
Pregnancy
Prognosis
Fentanyl
Lidocaine
Phenylephrine