Anesthesia Management in a case of Patent Ductus Arteriosus with Eisenmengerisation undergoing a Caesarean Section

Sarkar, Manjula S.; Bajaj, Avinash; Dewoolkar, L. V.
June 2008
Internet Journal of Anesthesiology;2008, Vol. 16 Issue 2, p5
Academic Journal
Eisenmengers Syndrome consists of pulmonary hypertension and a right-to-left or bidirectional shunt with peripheral cyanosis. The shunt may be atrial, ventricular, or aortopulmonary. It is commonly found with left to right shunt reversal during end stages of PDA, VSD, and ASD. The presence of Eisenmengers syndrome places the pregnant patient at a high risk for maternal and neonatal mortality. The associated high pulmonary artery pressure with fixed vascular resistance are not reversed surgically. The prognosis of the same being dependent on the pulmonary hypertension. We discuss a case management of a primigravida with PDA and Eisenmengerisation in 28 weeks of gestation presenting with breathlessness.


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