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Pulmonary arterial hypertension is defined as persistent increase in mean pulmonary artery pressure more than or equal to 25 mmHg and pulmonary occlusion pressure less than 15 mmHg. Symptoms of patients include cough, breathlessness, syncope, weakness, fatigue, chest pain etc. Pulmonary hypertension of different causes leads to a common pathway of right ventricular strain pattern ultimately leading to right heart failure. All measures are done to avoid further rise in pulmonary arterial pressure and requires collaborative efforts of obstetrician, anesthesiologist, cardiologist, intensivists and pulmonologist. Preoperative evaluation and perioperative management takes in account the functional status of the patient, type of surgery involved, severity of disease and revolves around balancing the systemic vascular resistance and pulmonary vascular resistance.

Anesthetic Management of a Pregnant Female with Interstitial Lung Disease and Pulmonary Hypertension for Emergency Lower Segment Cesarean Section