Eisenmenger Syndrome For Caesarean Section - A Case Report

Abstract

Initially described by Victor Eisenmenger and redefined by Wood], Eisenmenger syndrome is essentially presence of high pulmonary vascular resistance associated with pulmonary artery hypertension (PAH) at, or close to, systemic pressure and associated with a reversed or bi-directional shunt at the aortopulmonary, interatrial or interventricular level. Pregnancy in a patient with this condition causes deterioration due to the physiological cardiovascular changes of pregnancy. Such patients presenting for caesarean section is a major anaesthetic challenge which needs multidisciplinary management. We describe our experience with such a case.