A Case Report of Pregnancy With Eisenmenger Syndrome, a Rare Case

Abstract

Pregnancy complicated with Eisenmenger syndrome is associated with high risk to the mother and the fetus. There is approximately 50% risk of sudden maternal death, frequently occurring a few days postpartum and the overall fetal wastage is reported to be up to 75%. Patients with Eisenmenger syndrome are advised to refrain from pregnancy or to terminate pregnancy by the end of rst trimester itself. Management of these patients requires a coordinated multi-specialist care when such pregnancies reach a stage where safe termination is not advisable. However, inspite of all the risks, a few patients delivered successfully with a good maternal and neonatal outcome. Here we report a case of a 20 years old primi patient with 36 weeks gestational age and known case of Ventricular Septal Defect with Eisenmenger syndrome and Tricuspid Regurgitation and Pulmonary Hypertension. Her doppler study suggestive of utero placental insufency with reversal of umbilical artery ow. Patient was delivered normally with full support of oxygen with good neonatal outcome. Patient and her baby were transferred to cardiology department and patient was discharged on post partum day 5 from cardiology hospital