Abstract

ROMAN RUBIO, Pedro A et al. The Eisenmenger's syndrome and the pregnancy. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.2, pp. 235-242. ISSN 0138-600X.

Eisenmenger's syndrome is defined as a obstructive pulmonary vascular disease developed from the previous existence of a communication between the systemic and the pulmonary circulation with a deviation of blood stream from left to right. During pregnancy entails a mother and fetus mortality higher than 50 %. The objective of present paper is to describe a clinical case of a patient presenting with Eisenmenger's syndrome seen in the Heart Disease service and a 20 weeks pregnancy. Remains admitted with an evaluation of the fetal quality of life due to suspicion of growth retardation using inductors of the fetal pulmonary maturity at 30 and 33 weeks of pregnancy. At 34.4 weeks she undergoes an elective cesarean section and surgical sterilization. She give birth a male newborn weighing 1 958 g, Apgar 9/9 without surgical and anesthetic backgrounds during procedure. Immediate puerperium evolution is satisfactory and is discharged at 36 days. The Eisenmenger's syndrome entails a high risk of morbidity and mortality for mother and for fetus, and the multidisciplinary management optimizes the results.

Keywords : Eisenmenger's syndrome; pregnancy; pulmonary hypertension; adolescence; fetal growth restriction.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )