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...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000400325&lng=en&tlng=en |
| _version_ | 1811324872586952704 |
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| author | Shi-Min Yuan |
| author_facet | Shi-Min Yuan |
| author_sort | Shi-Min Yuan |
| collection | DOAJ |
| description | 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 causes of death could be hypovolemia, thromboembolism and preeclampsia. Pregnancy should ideally be avoided in a woman with Eisenmenger syndrome concerning the high maternal mortality rate and probable poor prognosis of the baby. A short labour and an atraumatic delivery under epidural block are preferred in the women with a strong desire of pregnancy. The purpose of this article is to discuss the debates of Eisenmenger syndrome in pregnancy and the possible resolutions. |
| first_indexed | 2024-04-13T14:23:17Z |
| format | Article |
| id | doaj.art-9740b8768023475697ba8bc553a71d38 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-13T14:23:17Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-9740b8768023475697ba8bc553a71d382022-12-22T02:43:24ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974131432532910.5935/1678-9741.20160062S0102-76382016000400325Eisenmenger Syndrome in PregnancyShi-Min YuanAbstract 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 causes of death could be hypovolemia, thromboembolism and preeclampsia. Pregnancy should ideally be avoided in a woman with Eisenmenger syndrome concerning the high maternal mortality rate and probable poor prognosis of the baby. A short labour and an atraumatic delivery under epidural block are preferred in the women with a strong desire of pregnancy. The purpose of this article is to discuss the debates of Eisenmenger syndrome in pregnancy and the possible resolutions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000400325&lng=en&tlng=enEisenmenger ComplexPregnancy ComplicationsHypertension, Pulmonary |
| spellingShingle | Shi-Min Yuan Eisenmenger Syndrome in Pregnancy Brazilian Journal of Cardiovascular Surgery Eisenmenger Complex Pregnancy Complications Hypertension, Pulmonary |
| title | Eisenmenger Syndrome in Pregnancy |
| title_full | Eisenmenger Syndrome in Pregnancy |
| title_fullStr | Eisenmenger Syndrome in Pregnancy |
| title_full_unstemmed | Eisenmenger Syndrome in Pregnancy |
| title_short | Eisenmenger Syndrome in Pregnancy |
| title_sort | eisenmenger syndrome in pregnancy |
| topic | Eisenmenger Complex Pregnancy Complications Hypertension, Pulmonary |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000400325&lng=en&tlng=en |
| work_keys_str_mv | AT shiminyuan eisenmengersyndromeinpregnancy |