Anaesthesia for Caesarean Section in a Patient with Large Ventricular Septal Defect with Pulmonary Hypertension with Single Ventricle Physiology

Abstract

Pregnancy in a patient with large ventricular septal defect (VSD) with severe pulmonary hypertension (PAH) increases the risk of mortality severalfold. This when combined with single ventricle physiology forms a rare and deadly combination. A 26-year-old female presented for elective LSCS at 35 weeks gestation. She had a large VSD with severe PAH with a single ventricle physiology. We report the successful conduct of a caesarean section in this patient under graded epidural anaesthesia.