COVID-19 Recovered Parturient with Severe Pulmonary Hypertension Undergoing Caesarean Section

A 30-year-old COVID-19 recovered pregnant lady presented to us for severe pulmonary hypertension. An emergency caesarean section was performed in view of severe pulmonary hypertension under combined spinal epidural anaesthesia with special precautions including inhaled nitric oxide and extracorporeal membrane oxygenation standby. The surgery was uneventful, and the patient was diagnosed with idiopathic pulmonary hypertension and managed with medical treatment subsequently. This report describes the anaesthetic management of caesarean section in this high-risk patient and reviews the latest evidence regarding the association between COVID -19 infection and pulmonary hypertension.