Key result
Combined spinal-epidural anesthesia provided safe and effective anesthetic management for a pregnant patient with severe primary pulmonary hypertension undergoing cesarean section.
Case Report (n=1)
No
Combined spinal epidural anesthesia can be successfully used for cesarean section in pregnant patients with severe primary pulmonary hypertension.
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May support combined spinal-epidural anesthesia in select severe pulmonary hypertension cesarean cases; hypothesis-generating and should not change practice.
In this case report, the management of a 35-week pregnant patient with primary pulmonary hypertension who had a cesarean section operation under regional anesthesia is discussed in the light of literature. In the preoperative examination, the patient suffered from severe dyspnea. She was discovered to have tricuspid insufficiency (4°) and her systolic pulmonary arterial pressure (PAP) was measured at 110 mmHg. The patient was successfully managed with combined spinal epidural anesthesia and was then referred to the cardiology intensive care unit.
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Güzel et al. (2015) conducted a case report in Primary pulmonary hypertension in pregnancy (n=1). Combined spinal-epidural anesthesia was evaluated on Hemodynamic stability and successful delivery. Combined spinal-epidural anesthesia provided safe and effective anesthetic management for a pregnant patient with severe primary pulmonary hypertension undergoing cesarean section.
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