Anaesthesia Management in a Case of Large Ventricular Septal Defect with Eisenmengerisation Undergoing Caesarean Section
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2018, Vol 7, Issue 4
Abstract
Incidence of cardiac disease in pregnancy in developed countries is 0.2-3% and that in developing countries is still higher. Ventricular Septal Defect (VSD) is one of the commonest congenital heart diseases. Pregnant patient with small VSD generally tolerate well but patients with unrepaired large VSD develop pulmonary hypertension and left heart failure over a period of time. If pulmonary pressure reaches systemic levels there is reversal or bidirectional flow. As per WHO classification of maternal cardiac risk disease, pulmonary hypertension is categorized under class 4. Here we report a case management of a pregnant patient with large VSD (15 mm) with severe pulmonary hypertension (105 mmHg) with eisenmengerisation posted for emergency caesarean section. It was done under general anaesthesia with successful maternal and foetal outcome.
Authors and Affiliations
Kirti A. Kundalwal, Surekha Shinde, Prajakta M. Tayade
Keywords
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