Anaesthetic challenges in a patient with eisenmenger syndrome : A case report

Authors : Priya chandran, Shiril Ashraf, Sheela Verghese

DOI : 10.18231/j.ijca.2024.018

Volume : 11

Issue : 1

Year : 2024

Page No : 95-967

The term Eisenmenger syndrome describe a large left-to-right cardiac shunt resulting in pulmonary vascular disease and later reversal of the shunt. Occur in 8% of patients with congenital heart disease. Pregnancies carries very high risk of mortality and premature delivery. 20-30% pregnancies result in spontaneous abortion and premature delivery. Pulmonary microembolism and macroembolism have caused peripartum maternal death even after delivery. Anaesthetic management is challenging due to the patho-physiology of the shunt. Our case report is a 27-year-old female known case of Eisenmenger syndrome with chronic thromboembolism presented with inevitable abortion scheduled to undergo emergency evacuation under general anaesthesia.


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