A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome
Gehlot, R., Verma, D., Raiger, L. (2021). A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome. EKB Journal Management System, 13(1), -. doi: 10.1186/s42077-021-00127-9
Ravindra Kr. Gehlot; Devendra Verma; L. K. Raiger. "A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome". EKB Journal Management System, 13, 1, 2021, -. doi: 10.1186/s42077-021-00127-9
Gehlot, R., Verma, D., Raiger, L. (2021). 'A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome', EKB Journal Management System, 13(1), pp. -. doi: 10.1186/s42077-021-00127-9
Gehlot, R., Verma, D., Raiger, L. A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome. EKB Journal Management System, 2021; 13(1): -. 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

Ain-Shams Journal of Anesthesiology
Volume 13, Issue 1, January 2021    PDF (518.52 K)
DOI: 10.1186/s42077-021-00127-9
Authors
Ravindra Kr. Gehlot* ; Devendra Verma; L. K. Raiger
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
cesarean section; Combined spinal–epidural anesthesia; Eisenmenger syndrome; Pregnancy
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