2016
DOI: 10.5935/1678-9741.20160062
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Eisenmenger Syndrome in Pregnancy

Abstract: Eisenmenger syndrome is very rare in pregnant women. Debates remain concerning the management of Eisenmenger syndrome in this patient population and the prognosis is unclear in terms of maternal and fetoneonatal outcomes. Epidural analgesia is preferred for Cesarean section as it alleviates perioperative pain and reduces the pulmonary and systemic vascular resistances. Maternal mortality in the presence of Eisenmenger syndrome is reported as 30-50% and even up to 65% in those with Cesarean section. The major c… Show more

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Cited by 25 publications
(39 citation statements)
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“…Furthermore, the high peri−/postpartum risk due to hemodynamic stress and bleeding complications can lead to right HF [25,26]. In this scenario, premature birth and growth retardation are reported in successfully delivered children [27]. The same result was also detected in our study.…”
Section: Patient Characteristics and Outcomessupporting
confidence: 87%
“…Furthermore, the high peri−/postpartum risk due to hemodynamic stress and bleeding complications can lead to right HF [25,26]. In this scenario, premature birth and growth retardation are reported in successfully delivered children [27]. The same result was also detected in our study.…”
Section: Patient Characteristics and Outcomessupporting
confidence: 87%
“…La disminución grave del gasto cardíaco unido a la resistencia vascular sistémica (RVS) tiene la potencialidad de aumentar la derivación de sangre de derecha a izquierda, con la posibilidad de inducir al colapso circulatorio y la insuficiencia cardíaca; lo que constituyó la injuria clínica que se manifestó en el paciente en cuestión. (12,13) La insuficiencia cardíaca produce una disminución del flujo sanguíneo hepático con la consecuente afectación del aporte de oxígeno, ocasionando la necrosis de los hepatocitos del área 3. (14) A su vez, la hipoxia estimula el incremento de la presión venosa capilar, el desarrollo de fibrosis y la hipertensión portal, los que junto a la disminución de la síntesis proteica y los factores de coagulación provocan un cuadro de ascitis y trastornos hemorrágicos.…”
Section: Discussionunclassified
“…12. Pulmonary Artery Hypertension and Eisenmenger's Syndrome [46][47][48][49] Pulmonary artery hypertension (PAH) in CHDs can be due to large post-tricuspid shunts or complex cyanotic heart lesions with increased pulmonary blood flow. Unoperated, these conditions cause pulmonary vascular obstructive disease.…”
Section: Managementmentioning
confidence: 99%