Successful Use of Low Dose Combined Spinal-Epidural Anesthesia During Cesarean Section in Eisenmenger Syndrome

Özet

Cardiac diseases are among the most important causes of mortality and morbidity during pregnancy. It is recommended that those with pulmonary hypertension (PH), cyanotic heart diseases, severe mitral stenosis (MS), aortic stenosis (AS) and patients with functional class 3-4 according to the New York Heart Association (NYHA) not become pregnant. In these situations, a multidisciplinary approach including cardiologist, gynecologist, anesthesiologist and neonatologists is necessary. Cesarean section (CS) in pregnant cases with Eisenmenger syndrome represents a high risk for anesthesia. General anesthesia, spinal anesthesia, epidural anesthesia and combined spinalepidural anesthesia (CSEA) techniques may be used for CS of pregnant cases with severe cardiac diseases. There is no proven superiority for any of these techniques. We wished to share our experience of CSEA administered successfully to two highrisk pregnant cases during cesarean sections