Fatal maternal outcome of a parturient with Eisenmenger's

Arch. Gynecol. Obstet. · Jan 2003

Case Reports

Fatal maternal outcome of a parturient with Eisenmenger's syndrome and severe preeclampsia.

Eisenmenger's syndrome in pregnancy is associated with a high maternal and fetal morbidity and mortality. When it occurs with severe preeclampsia, the morbidity and mortality are higher. We report the case of a 30 weeks' pregnant woman with Eisenmenger's syndrome and severe preeclampsia. ⋯ The intraoperative period was uneventful and a healthy 1300 g male infant was delivered, but the patient died on the second postoperative day due to a pulmonary embolism. This case confirms the frequently fatal maternal outcome of Eisenmenger's syndrome in pregnancy. Early termination of pregnancy is the treatment of choice.

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- Vorapong Phupong, Pornthip Ultchaswadi, Chuenkamon Charakorn, Kongkwan Prammanee, Suthisinee Prasertsri, and Somrat Charuluxananan.
- Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand. vorapong.p@chula.ac.th
- Arch. Gynecol. Obstet. 2003 Jan 1;267(3):163-6.
AbstractEisenmenger's syndrome in pregnancy is associated with a high maternal and fetal morbidity and mortality. When it occurs with severe preeclampsia, the morbidity and mortality are higher. We report the case of a 30 weeks' pregnant woman with Eisenmenger's syndrome and severe preeclampsia. Cesarean section was performed due to severe preeclampsia and an unfavorable cervix under general anesthesia. The intraoperative period was uneventful and a healthy 1300 g male infant was delivered, but the patient died on the second postoperative day due to a pulmonary embolism. This case confirms the frequently fatal maternal outcome of Eisenmenger's syndrome in pregnancy. Early termination of pregnancy is the treatment of choice.

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Fatal maternal outcome of a parturient with Eisenmenger's syndrome and severe preeclampsia.

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