Introduction: Eisenmenger's syndrome in pregnancy can lead to death in 50% to 65% of parturients. Expensive invasive monitoring and medication have improved management and outcomes. Cheaper alternatives for the management of high-risk patients who present with no prenatal care are still not available. Case presentation: We describe the obstetric anaesthesia management of a 34-year-old, 34-weeks pregnant woman who presented with a recent diagnosis of severe Eisenmenger's syndrome. A combined spinal epidural anaesthesia was used together with invasive cardiac monitoring as well as PGE1 nebulisation after delivery of the baby. This helped achieve a reduction of shunt, improvement of hypoxia and reduction of pulmonary pressures. Conclusion: We found this to be a cheaper and safe alternative in the management of such patients who present with no adequate prior management. © 2008 Siddiqui and Latif; licensee BioMed Central Ltd.
CITATION STYLE
Siddiqui, S., & Latif, N. (2008). PGE1 nebulisation during caesarean section for Eisenmenger’s syndrome: A case report. Journal of Medical Case Reports, 2. https://doi.org/10.1186/1752-1947-2-149
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