Authors: | Makaryus, A. N.; Forouzesh, A.; Johnson, M. |
Article 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. © The Mount Sinai Journal of Medicine. |
Keywords: | adult; case report; oxygen; oxygen therapy; furosemide; patient monitoring; digoxin; patient care; warfarin; heparin; pregnancy; medical literature; hospital discharge; electrocardiography; treatment refusal; cesarean section; clinical examination; pregnancy outcome; postoperative thrombosis; maternal mortality; heart catheterization; gestation period; eisenmenger complex; pregnancy termination; uterine tube ligation; congenital heart disease; eisenmenger's syndrome; bed rest; childbirth; pregnancy complications, cardiovascular; pregnancy trimester, third |
Journal Title: | Mount Sinai Journal of Medicine |
Volume: | 73 |
Issue: | 7 |
ISSN: | 0027-2507 |
Publisher: | Wiley Blackwell |
Date Published: | 2006-11-01 |
Start Page: | 1033 |
End Page: | 1036 |
Language: | English |
PUBMED: | 17195894 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Cited By (since 1996): 11" - "Export Date: 4 June 2012" - "CODEN: MSJMA" - "Source: Scopus" |