title: Fatal maternal outcome of a parturient with Eisenmenger's syndrome and severe preeclampsia.
abstract: Eisenmenger's syndrome in pregnancy is associated with a high maternal and fetal morbidity and mortality. When it occurs with severe preeclampsia, the morbidity and mortality are higher. We report the case of a 30 weeks' pregnant woman with Eisenmenger's syndrome and severe preeclampsia. Cesarean section was performed due to severe preeclampsia and an unfavorable cervix under general anesthesia. The intraoperative period was uneventful and a healthy 1300 g male infant was delivered, but the patient died on the second postoperative day due to a pulmonary embolism. This case confirms the frequently fatal maternal outcome of Eisenmenger's syndrome in pregnancy. Early termination of pregnancy is the treatment of choice.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand. vorapong.p@chula.ac.th
authors.forename: Vorapong
authors.initials: V
authors.lastname: Phupong
authors.forename: Pornthip
authors.initials: P
authors.lastname: Ultchaswadi
authors.forename: Chuenkamon
authors.initials: C
authors.lastname: Charakorn
authors.forename: Kongkwan
authors.initials: K
authors.lastname: Prammanee
authors.forename: Suthisinee
authors.initials: S
authors.lastname: Prasertsri
authors.forename: Somrat
authors.initials: S
authors.lastname: Charuluxananan
mesh_terms: D000328:Adult; D002585:Cesarean Section; D004541:Eisenmenger Complex / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011225:Pre-Eclampsia / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D011655:Pulmonary Embolism / Q000150:complications