Year : 2012  |  Volume : 15  |  Issue : 4  |  Page : 296--298

Safe management of cesarean section in a patient of Eisenmenger syndrome


Silvia Minicucci1, Vincenzo Segala1, Claudio Verdecchia1, Piero Sismondi2, Riccardo Casabona3, Fabrizio Sansone3 
1 Division of Anesthesia, Mauriziano Umberto I Hospital, Turin, Italy
2 Division of Gynaecology, University of Turin, Mauriziano Umberto I Hospital, Turin, Italy
3 Division of Cardiac Surgery, Mauriziano Umberto I Hospital, Turin, Italy

Correspondence Address:
Fabrizio Sansone
Division of Cardiac Surgery, Mauriziano Umberto I Hospital, Largo Turati 62, 10135, Turin
Italy

We report our experience of a 29-year-old female with a complete atrio-ventricular septal defect leading to a single ventricle physiology and Eisenmenger syndrome. The patient successfully underwent spinal anesthesia for cesarean section in the 31 st week of pregnancy. A multidisciplinary approach involving cardiologist, cardiac surgeon, obstetrician, and anesthesiologist was utilized to achieve a safe pregnancy and cesarean for the delivery of the baby. A close clinical assessment is required, especially during the third trimester when the risk of acute right ventricular dysfunction increases. The use of extracorporeal membrane oxygenation (ECMO) (as a bridge to recovery or bridge to salvage) was planned to support oxygenation and circulation in case of acute biventricular dysfunction. The delivery/cesarean section was performed in a cardiac surgery operating room, and to reduce the time-frame for ECMO institution the femoral vessels were exposed surgically before the cesarean section.


How to cite this article:
Minicucci S, Segala V, Verdecchia C, Sismondi P, Casabona R, Sansone F. Safe management of cesarean section in a patient of Eisenmenger syndrome.Ann Card Anaesth 2012;15:296-298


How to cite this URL:
Minicucci S, Segala V, Verdecchia C, Sismondi P, Casabona R, Sansone F. Safe management of cesarean section in a patient of Eisenmenger syndrome. Ann Card Anaesth [serial online] 2012 [cited 2019 Dec 9 ];15:296-298
Available from: http://www.annals.in/article.asp?issn=0971-9784;year=2012;volume=15;issue=4;spage=296;epage=298;aulast=Minicucci;type=0