Two Consecutive Successful Pregnancy Outcomes in a woman with Eisenmenger’s Syndrome: A Case Report

Volume 3 - Issue 2

Nooshin Amjadi¹, Maryamsadat Hosseini², Soha Mirreza³* and Forough Mortazavi⁴

Received: February 08, 2019;   Published: February 22, 2019

DOI: 10.32474/IGWHC.2018.03.000156

Full Text PDF

To view the Full Article   Peer-reviewed Article PDF

Abstract

Eisenmenger’s syndrome is a very rare condition in pregnant women. The incidence of ES is about 3% of the pregnant patients with congenital heart defects; however, it can be accompanied with high incidence of maternal and neonatal morbidity and mortality. Therefore, these patients should have efficient contraception or termination of pregnancy in the first trimester. We present two poorly-controlled consecutive pregnancies with good outcomes in a woman with ES to clarify the appropriate function of teamwork in the management of emergency situations in similar cases. Alongside teamwork, good prenatal care is also important because it can result in elective termination in higher gestational age of pregnancy.

A 21-year old woman, Repeat II cesarean belonging to a very low socioeconomic class, with ES was admitted to the emergency ward of Imam Hossein teaching hospital affiliated to Shahid Beheshti University of Medical Sciences with labor pain and severe dyspnea in 28 weeks of pregnancy. Echocardiography indicated a PAP of 120 mmHg. The patient had supportive treatment in intensive care unit until she was discharged. Despite previous reports of poor pregnancy outcomes in women with ES, high quality and significant treatment through labor and postpartum period lead to good outcomes in both mother and neonate.

Keywords:Eisenmenger complex; outcome; pregnancy; pulmonary hypertension

Abstract| Introduction| Case Presentation| Ethics| Discussion| Conclusion| Acknowledgment| Ethical Approval| References|