Korean J Anesthesiol.  1996 Jul;31(1):109-113. 10.4097/kjae.1996.31.1.109.

Epidural Anesthesia for Cesarean Section in a Parturient with Eisenmenger's Syndrome -A case report-

• Park WS
• Ko H

• KMID: 1934787
• DOI: http://doi.org/10.4097/kjae.1996.31.1.109

Abstract

Eisenmenger' syndrome is defined as pulmonary hypertention with right-to-left or bidirectional shunt with peripheral cynosis. All patients with Eisenmenger' syndrome are at markedly increased risk and poor prognosis. We experienced a case of 31-year-old, pregnancy 36 weeks with Eisenmenger's syndrome secondary to PDA and Down syndrome. We carefully performed epidural anesthesia with fractionated doses of 2 % lidocaine and fentanyl. The sensory block reached to T6 level. Monitoring included ECG, invasive blood pressure, finger pulse oximetry and central venous pressure. Blood pressure was maintained with intravenous phenylephrine. Blood loss was promptly replaced with crystalloid solution and FFP. Postoperative pain was managed successfully with continuous epidural infusion of 0.2 % bupivacaine and fentanyl. The mother and baby were discharged home 1 week later without complicaton.

Keyword

Anesthetic Technique epidural; Heart congenital defects; Eisenmenger's syndrome; Pregnancy cesarean section

MeSH Terms

Adult
Anesthesia, Epidural*
Blood Pressure
Bupivacaine
Central Venous Pressure
Cesarean Section*
Down Syndrome
Eisenmenger Complex*
Electrocardiography
Female
Fentanyl
Fingers
Humans
Lidocaine
Mothers
Oximetry
Pain, Postoperative
Phenylephrine
Pregnancy
Prognosis
Bupivacaine
Fentanyl
Lidocaine
Phenylephrine