title: Pregnancy in the patient with Eisenmenger's syndrome.
abstract: 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.
authors.affiliation: Department of Medicine, North Shore University Hospital, Manhasset, NY, USA.
authors.forename: Amgad N
authors.initials: AN
authors.lastname: Makaryus
authors.forename: Avisheh
authors.initials: A
authors.lastname: Forouzesh
authors.forename: Michelle
authors.initials: M
authors.lastname: Johnson
mesh_terms: 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