Pulmonary hypertention is rare progressive, fatal pathological entity, which when present in pregnancy associated with high mortality rate. Pulmonary hypertention is generally developed in patient with long standing rheumatic heart disease. Here we report a case of a pregnant lady with severe pulmonary hypertention who successfully underwent LSCS under combine spinal and epidural anaesthesia, and discuss major periperative anaesthetic issue related to it.

Keywords; Pulmonary hypertension, pregnancy, CSE.

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   ² Department of Anesthesia and ICU, PGIMS, Rohtak, Haryana, India ³ Department of CTVS, AIIMS, New Delhi, India
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Dr Raja Avinash

M.D. Senior Resident (Anaesthesia), IGIMS, Patna, India