Spinal Anesthesia with Low-Dose Bupivacaine for Therapeutic Abortion in a Patient with Eisenmenger's Syndrome: A Case Report Study

Eisenmenger syndrome associated with pregnancy increases the maternal morbidity and mortality. Therefore, in the most of such patients the termination of pregnancy is recommended. Case report: A 29 -year-old woman at the 7 th week of gestational age was candidate for therapeutic abortion with history of Eisenmenger syndrome due to atrial septal defect (ASD). Spinal a nesthesia was performed in sitting position at the L4-5 interspace with 10 mg of bupivacaine. The p atient was laid in the supine position after 2 minutes. The surgery lasted about an hour. Blood pressure and heart rate did not change significantly during operation. Modified s pinal anesthesia with bupivacaine is recommended for therapeutic abortion in patients with Eisenmenger syndrome.