Title: Anaesthetic Management for LSCS in severe pulmonary hypertention- A Case Report

Authors: Dr Raja Avinash, Dr Akhileshwar

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.159

Abstract

Pulmonary hypertention is rare progressive, fatal pathological entity, which when present in pregnancy associated with high mortality rate. Pulmonary hypertention is generally developed in patient with long standing rheumatic heart disease. Here we report a case of a pregnant lady with severe pulmonary hypertention who successfully underwent LSCS under combine spinal and epidural anaesthesia, and discuss major periperative anaesthetic issue related to it.

Keywords; Pulmonary hypertension, pregnancy, CSE.

References

  1. Anesthetic considerations for a parturient with pulmonary hypertension Bhavna Gupta1Kamna Kakkar2Lalit Gupta1, Anish Gupta3 1Department of Anesthesia and ICU, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India
    2 Department of Anesthesia and ICU, PGIMS, Rohtak, Haryana, India 3 Department of CTVS, AIIMS, New Delhi, India
  2. Cesarean delivery  in  severe  pulmonary  hypertension: a case report. Rimaitis K, Aliuškevičienė A, Adukauskienė D, Rimaitis M, Macas A.Medicina (Kaunas). 2012; 48(3):159-62. https://www.ncbi.nlm.nih.gov/pubmed/22588348
  3. Pulmonary Hypertension in Pregnancy: A Report of 49 Cases at Four Tertiary North American Sites. Meng ML, Landau R, Viktorsdottir O, Banayan J, Grant T, Bateman B, Smiley R, Reitman E.Obstet Gynecol. 2017 Mar; 129(3):511-520. https://www.ncbi.nlm.nih.gov/pubmed/28178055
  4. Anesthesia for pregnant women with pulmonary hypertension. Rex S, Devroe S.Curr Opin Anaesthesiol. 2016 Jun; 29(3):273-81. https://www.ncbi.nlm.nih.gov/pubmed/26978591
  5. Severe pulmonary hypertension during pregnancy: mode of delivery and anesthetic management of 15 consecutive cases. Bonnin M, Mercier FJ, Sitbon O, Roger-Christoph S, Jaïs X, Humbert M, Audibert F, Frydman R, Simonneau G, Benhamou D. Anesthesiology. 2005 Jun;102(6):1133-7; discussion 5A-6A. PMID 15915025 https://www.ncbi.nlm.nih.gov/pubmed/15915025.
  6. Regional anesthesia for the pregnant cardiac patient. Mitterschiffthaler G. Acta Anaesthesiol Scand Suppl. 1996;109:180-4. No abstract available. PMID: 8902001 https://www.ncbi.nlm.nih.gov/pubmed/8902001

Corresponding Author

Dr Raja Avinash

M.D. Senior Resident (Anaesthesia), IGIMS, Patna, India