Epidural Anesthesia in Eisenmengerʼs Syndrome

A 22-year-old woman with Eisenmenger's syndrome and significant right-to-left shunt was anesthetized for tubal ligation by a continuous lumbar epidural technic. Changes in vital signs, respiratory parameters, and cardiac function were minimal, suggesting to the authors that this procedure should be considered for patients with intracardiac shunts and pulmonary hypertension who require lower abdominal operations.