Eisenmenger syndrome and pregnancy
A case report
Keywords:
EISENMENGER COMPLEX, COMPLICATIONS OF PREGNANCY, CAESAREAN SECTION
Abstract
A case report of a 33-year-old woman, 37 weeks pregnant, with Eisenmenger syndrome diagnosed two years before, during her first childbed is presented. Labor had begun five days before an elective cesarean section planned at 37 weeks, leading to an emergency cesarean. The patient was not fasting and anticoagulated. Under these conditions the patient underwent general anesthesia, gave birth to a newborn (Apgar score of 9), neither anesthetic nor surgical incidents occurred during this procedure. The patient presented normal evolution during early and late puerperal periods, discharge from hospital took place 11 days after cesarean.
References
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(2) Franciso M, Camargo Assis MD. Manejo perioperatorio de la paciente embarazada en enfermedad cardíaca. Rev Col Anest 2006; 34-49.
(3) Kandasamy R, Koh KF, Tham SL, Reddy S. Anaesthesia for caesarean section in a patient with Eisenmenger’s syndrome. Singapore Med J 2000; 41(7): 356-8.
(4) Weiss BM, Zemp L, Seifert B, Hess OM. Outcome of pulmonary vascular disease in pregnancy: a systematic overview from 1978 through 1996. J Am Coll Cardiol 1998; 31: 1650-7.
(5) Avila WS, Grinberg M, Snitcowsky R, Faccioli R, Da Luz PL, Bellotti G, et al. Maternal and fetal outcome in pregnant women Eisenmenger’s syndrome. Eur Heart J 1995; 16: 460-4.
(6) Horlocker TT, Wedel DJ, Benzon H, Brown DL, Enneking FK, Heit JA, et al. Regional anesthesia in the anticoagulated patient: defining the risks. (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation). Reg Anesth Pain Med 2003; 28:172-97.
(7) Horloker TT, Nedel DJ, Benson H, Brown D. Regional anesthesia in the anticoagulated patient: defining risks. Reg Anesth Pain Med 2004; 29 (Suppl 1): 1-11.
(8) Krombach JW, Dagtekin O, Kampe S. Regional anesthesia and coagulation. Cur Op Anesth 2004; 17: 427-33.
(9) Guevara-Olivari N, Barreau D, Burle C, Manrique-Cornand MA, Tari A. Cesarienne et insuffisance ventriculaire gauche d´origine coronarienne: technique d’ anesthesie. Ann Fr Anesth Reanim 1995; 14: 421-5.
(10) Kanmura Y, Hagihira Y, Higashi M, Yamashita K, Sameshima K, Toda H, et al. Anesthetic management of cesarean section in a patient with dilated cardiomyopathy. Masui 1995; 44: 407-10.
(11) Johnson MD, Saltzman DH. Cardiac disease. In: Datta S, ed. Anesthetic and obstetric management of high risk pregnancy. 2ed. Saint Louis: Mosby, 1996: 200-45.
(12) Moran DH, Perillo HM, La Porta RF, Bader AM, Datta S. Phenylephrine in the prevention of hypotension following spinal anesthesia for caesarean delivery. J Clin Anesth 1991; 3: 301-5.
(13) Vongpatanasin W, Brickner E, Hillis D, Lange RA. The Eisenmenger syndrome in adults. Ann Inter Med 1998; 128: 745-55.
(14) Somerville J. How to manage the Eisenmenger syndrome. Int J Cardiol 1998; 63: 1-8.
(2) Franciso M, Camargo Assis MD. Manejo perioperatorio de la paciente embarazada en enfermedad cardíaca. Rev Col Anest 2006; 34-49.
(3) Kandasamy R, Koh KF, Tham SL, Reddy S. Anaesthesia for caesarean section in a patient with Eisenmenger’s syndrome. Singapore Med J 2000; 41(7): 356-8.
(4) Weiss BM, Zemp L, Seifert B, Hess OM. Outcome of pulmonary vascular disease in pregnancy: a systematic overview from 1978 through 1996. J Am Coll Cardiol 1998; 31: 1650-7.
(5) Avila WS, Grinberg M, Snitcowsky R, Faccioli R, Da Luz PL, Bellotti G, et al. Maternal and fetal outcome in pregnant women Eisenmenger’s syndrome. Eur Heart J 1995; 16: 460-4.
(6) Horlocker TT, Wedel DJ, Benzon H, Brown DL, Enneking FK, Heit JA, et al. Regional anesthesia in the anticoagulated patient: defining the risks. (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation). Reg Anesth Pain Med 2003; 28:172-97.
(7) Horloker TT, Nedel DJ, Benson H, Brown D. Regional anesthesia in the anticoagulated patient: defining risks. Reg Anesth Pain Med 2004; 29 (Suppl 1): 1-11.
(8) Krombach JW, Dagtekin O, Kampe S. Regional anesthesia and coagulation. Cur Op Anesth 2004; 17: 427-33.
(9) Guevara-Olivari N, Barreau D, Burle C, Manrique-Cornand MA, Tari A. Cesarienne et insuffisance ventriculaire gauche d´origine coronarienne: technique d’ anesthesie. Ann Fr Anesth Reanim 1995; 14: 421-5.
(10) Kanmura Y, Hagihira Y, Higashi M, Yamashita K, Sameshima K, Toda H, et al. Anesthetic management of cesarean section in a patient with dilated cardiomyopathy. Masui 1995; 44: 407-10.
(11) Johnson MD, Saltzman DH. Cardiac disease. In: Datta S, ed. Anesthetic and obstetric management of high risk pregnancy. 2ed. Saint Louis: Mosby, 1996: 200-45.
(12) Moran DH, Perillo HM, La Porta RF, Bader AM, Datta S. Phenylephrine in the prevention of hypotension following spinal anesthesia for caesarean delivery. J Clin Anesth 1991; 3: 301-5.
(13) Vongpatanasin W, Brickner E, Hillis D, Lange RA. The Eisenmenger syndrome in adults. Ann Inter Med 1998; 128: 745-55.
(14) Somerville J. How to manage the Eisenmenger syndrome. Int J Cardiol 1998; 63: 1-8.
Published
2007-09-30
How to Cite
1.
Rodríguez A, Rodríguez H, Zunini G, Ayala W. Eisenmenger syndrome and pregnancy. Rev. Méd. Urug. [Internet]. 2007Sep.30 [cited 2024Nov.26];23(3):187-91. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/614
Section
Casuistry
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