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Case Reports
. 2023 Jan 15;24(1):89-93.
doi: 10.1631/jzus.B2200368.

Multidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome

Shibin Hong  1   2 , Xin Kang  1 , Ka U Lio  1   2 , Yiping LE  1 , Chuan Wang  1 , Jianhua Lin  3 , Ning Zhang  4   5
Affiliations
Case Reports

Multidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome

Shibin Hong et al. J Zhejiang Univ Sci B. .

Abstract

Pregnancy in patients with Eisenmenger syndrome (ES) is associated with high maternal mortality rates of 30%‒50%, or even up to 65% in the case of a cesarean section (Yuan, 2016). Here, we report a case of term pregnancy complicated with ES and severe pulmonary artery hypertension (PAH), which was managed by a multidisciplinary team (MDT) and resulted in an uncomplicated delivery via elective cesarean section. The goal of this study is to emphasize the importance of multidisciplinary approach in the management of pregnancy with ES, which can profoundly improve maternal and infant outcomes.

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Figures

Fig. 1
Fig. 1. Outline of postoperative management. PAH: pulmonary artery hypertension; SpO2: oxygen saturation; SICU: surgical intensive care unit.
Fig. 2
Fig. 2. Alteration of relevant clinical indicators in the perioperative period and puerperium. Haemoglobin (Hb) (a), infection indices such as white blood cell (WBC) and procalcitonin (PCT) (b), blood coagulation states such as d‍-dimer and platelet (PLT) (c), and cardiac function indices such as B-natriuretic peptide (BNP) and troponin (TNI) (d) were maintained within acceptable fluctuation during the perioperative and puerperal periods.
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