[Epidural anesthesia for cesarean section in a patient with Eisenmenger's syndrome].
A case of a 21 year old pregnant patient with a Eisenmenger's syndrome is reported. She was in her 38th weeks of pregnancy and submitted to a cesarean section under epidural anaesthesia. In spite of a FiO2 1 administered through a nonrebreathing mask, she presented refractory hypoxemia. Hypotension during delivering was observed and treated with sympathomimetic drugs. Four days later, the patient presented a pulmonary thromboembolic clinical phenomena and died. Eisenmenger's syndrome during pregnancy is reviewed. Maternal mortality rate is higher in cesarean section (75%) when compared with vaginal delivery. We conclude that epidural anaesthesia can be an useful technique for these patients under a careful hemodynamic management and a proper dose of local anaesthetics.
Camba Rodríguez
M A
MA
Yáñez González
A M
AM
González Ruiz
F
F
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section; D004541:Eisenmenger Complex / Q000150:complications*; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D007431:Intraoperative Complications; D011183:Postoperative Complications; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011655:Pulmonary Embolism / Q000209:etiology*
Anestesia epidural para una cesárea en una paciente con síndrome de Eisenmenger.