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

Abstract

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