Pregnancy in the patient with Eisenmenger's syndrome Journal Article


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"
Citation Impact
MSK Authors
  1. Michelle Nadine Johnson
    14 Johnson