| 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 | Amgad N Makaryus, Avisheh Forouzesh, Michelle Johnson
(Affiliation: Department of Medicine, North Shore University Hospital, Manhasset, NY, USA.)
|
| Journal | The Mount Sinai journal of medicine, New York
(Mt Sinai J Med)
Vol. 73
Issue 7
Pg. 1033-6
(Nov 2006)
ISSN: 0027-2507 United States |
| PMID | 17195894
(Publication Type: Case Reports, Journal Article)
|
| Topics |
- Adult
- Cesarean Section
- Eisenmenger Complex
(physiopathology)
- Female
- Humans
- Pregnancy
- Pregnancy Complications, Cardiovascular
- Pregnancy Outcome
- Pregnancy Trimester, Third
|
