Anesthetic Management for Hysterotomy in a Pregnant Patient with Eisenmenger Syndrome: a Case Report

Abstract

Eisenmenger syndrome presents an exceedingly high risk of maternal mortality or severe morbidity, underscoring the need to avoid or promptly terminate a pregnancy. This report outlines the anesthetic management for hysterotomy in a 30-year-old pregnant patient with Eisenmenger syndrome at 17 weeks of gestation, with the objective of pregnancy termination. Successful stabilisation of hemodynamic and minimization of right-to-left shunts were achieved using combined spinal epidural anesthesia. Vigilance in identifying potential intraoperative issues and prompt responses to adverse events were crucial in achieving the desired outcomes.