title: Anaesthetic Management of Caesarean Section in a Term Pregnancy with Ventricular Septal Defect and Pulmonary Hypertension with Severe Pulmonary Stenosis.
abstract: Pregnancy with pulmonary hypertension - WHO risk class IV cardiac disease is associated with significant haemodynamic burden due to cardiocirculatory changes which is a significant indirect cause of maternal mortality. We report a very rare case - primigravida term pregnancy with pulmonary hypertension, large ventricular septal defect (2.4 cm(2)), bidirectional shunt mainly left to right with severe pulmonary stenosis with peak gradient of 144mmHg. Caesarean section was done under general anaesthesia with successful maternal and neonatal outcome.
authors: Assistant Professor, Department of Anaesthesia and Pain, Himalyan Institute of Medical Sciences , Dehradun, Uttarakhand, India .
authors: Rohan
authors: R
authors: Bhatia
authors: Assistant Professor, Department of Medicine, Himalyan Institute of Medical Sciences , Dehradun, Uttarakhand, India .
authors: Nidhi
authors: N
authors: Kaeley
authors: Associate Professor, Department of Obstetric and Gynaecology, Government Medical College Patiala, Punjab, India .
authors: Ruby
authors: R
authors: Bhatia
keywords: Bidirectional shunt; General anaesthesia; Primigravida