Neuraxial Blockade for Cesarean in a Patient with Severe Primary Pulmonary Hypertension, Tricuspid Insufficient and Right Heart Failure: Case Report

The pregnant patient with pulmonary hypertension (PH) is a major challenge due to the severity of preexisting cardiopulmonary disease and changes during pregnancy that aggravate the pathology; pulmonary hypertension during pregnancy is associated with maternal and fetal morbidity and mortality, constitutes an anesthesiological and medical challenge. It is considered an absolute contraindication to pregnancy or a reason to discontinue it early. We report a 27 years old female which present pulmonary hypertension and pregnancy which had to be urgently operated due to severity of pathology; the interruption of pregnancy and a definitive method of family planning was carried out in week 28 of pregnancy with a neuraxial blockade as an anesthetic method.