Successful Use of Low Dose Combined Spinal-Epidural Anesthesia During Cesarean Section in Eisenmenger Syndrome

Year 2019, Volume: 2 Issue: 4, 157 - 161, 31.12.2019

Güray Demir , Murat Aslan Selahattin Turen İpek Bostancı Dilek Altun Bedih Balkan

Abstract

Cardiac diseases are among the most important causes of mortality and morbidity during
pregnancy. It is recommended that those with pulmonary hypertension (PH), cyanotic heart
diseases, severe mitral stenosis (MS), aortic stenosis (AS) and patients with functional class
3-4 according to the New York Heart Association (NYHA) not become pregnant. In these
situations, a multidisciplinary approach including cardiologist, gynecologist, anesthesiologist
and neonatologists is necessary. Cesarean section (CS) in pregnant cases with Eisenmenger
syndrome represents a high risk for anesthesia. General anesthesia, spinal anesthesia, epidural
anesthesia and combined spinalepidural anesthesia (CSEA) techniques may be used for CS of
pregnant cases with severe cardiac diseases. There is no proven superiority for any of these
techniques. We wished to share our experience of CSEA administered successfully to two highrisk pregnant cases during cesarean sections

Keywords

Combined spinal-epidural anesthesia, Cesarean section, Eisenmenger syndrome

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