Maternal and fetal outcomes in pregnancy complicated with Eisenmenger syndrome.
Abortion, Spontaneous
Abortion, Therapeutic
Adult
Cardiac Catheterization
Cesarean Section
Ductus Arteriosus, Patent
/ complications
Echocardiography
Eisenmenger Complex
/ complications
Female
Heart Failure
/ complications
Heart Septal Defects, Atrial
/ complications
Heart Septal Defects, Ventricular
/ complications
Humans
Pregnancy
Pregnancy Complications, Cardiovascular
/ therapy
Pregnancy, High-Risk
Retrospective Studies
Risk Factors
Cardiac failure
Cyanosis
Eisenmenger syndrome
Pregnancy
Journal
Taiwanese journal of obstetrics & gynecology
ISSN: 1875-6263
Titre abrégé: Taiwan J Obstet Gynecol
Pays: China (Republic : 1949- )
ID NLM: 101213819
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
accepted:
10
07
2018
entrez:
27
3
2019
pubmed:
27
3
2019
medline:
24
4
2019
Statut:
ppublish
Résumé
The goal of the study was to clarify the risk factors for pregnancy complicated with Eisenmenger syndrome (ES). A retrospective study was performed in 15 patients with ES who were managed throughout pregnancy at one institution from 1982 to 2013. Cases associated with congenital heart diseases other than atrial septal defect (ASD), ventricular septal defect (VSD), and patent ductus arteriosus (PDA) were excluded. The congenital heart diseases in ES included ASD (n = 3), VSD (n = 9), and PDA (n = 3). Ten women chose termination and 5 continued with their pregnancies. In the 5 continuation cases (PDA 1, VSD 4), worsening of cyanosis, exertional fatigue and dyspnea appeared between 25 and 30 weeks gestation and cesarean section was performed at 30 (28-33) weeks. LVEF, PaO Pregnancy with ES has a high risk due to hypooxygenation, cyanosis, and cardiac failure, which can appear as common complications as early as the 2nd trimester. Early interventions with meticulous care are required for these complications during pregnancy and delivery.
Identifiants
pubmed: 30910135
pii: S1028-4559(19)30002-6
doi: 10.1016/j.tjog.2019.01.002
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
183-187Commentaires et corrections
Type : ErratumIn
Informations de copyright
Copyright © 2019. Published by Elsevier B.V.