Pregnancy in the patient with Eisenmenger's syndrome.
Eisenmenger's syndrome occurs when a large congenital or surgically created shunt between the left and right sides of the heart causes an increase in pulmonary vascular resistance that equals or surpasses systemic resistance, resulting in a reversal of the shunt from a left-to-right shunt to a right-to-left or bi-directional shunt. The maternal mortality rate of pregnancy in the presence of Eisenmenger's syndrome is reported to be as high as 50-65% with cesarean section. We present the case of a 32-year-old woman with Eisenmenger's syndrome who gave birth at 29 weeks of gestation via C-section to a healthy baby boy, and we review the literature regarding the management of such patients.
Makaryus
Amgad N
AN
Department of Medicine, North Shore University Hospital, Manhasset, NY, USA.
Forouzesh
Avisheh
A
Johnson
Michelle
M
D000328:Adult; D002585:Cesarean Section; D004541:Eisenmenger Complex / Q000503:physiopathology; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third