Fatal maternal outcome of a parturient with Eisenmenger's syndrome and severe preeclampsia
Phupong, V.; Ultchaswadi, P.; Charakorn, C.; Prammanee, K.; Prasertsri, S.; Charuluxananan, S.
Archives of Gynecology and Obstetrics 267(3): 163-166
2003
ISSN/ISBN: 0932-0067 PMID: 12552329 DOI: 10.1007/s00404-001-0284-1Document Number: 261131
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. 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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