Archives of Gynecology and Obstetrics

, Volume 267, Issue 3, pp 163–166

Fatal maternal outcome of a parturient with Eisenmenger’s syndrome and severe preeclampsia

Authors

  • V. Phupong
    • Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand e-mail: vorapong.p@chula.ac.th Tel.: +66-2-2564241, Fax:+66-2-2549292
  • Pornthip Ultchaswadi
    • Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
  • Chuenkamon Charakorn
    • Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand e-mail: vorapong.p@chula.ac.th Tel.: +66-2-2564241, Fax:+66-2-2549292
  • Kongkwan Prammanee
    • Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand e-mail: vorapong.p@chula.ac.th Tel.: +66-2-2564241, Fax:+66-2-2549292
  • Suthisinee Prasertsri
    • Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
  • Somrat Charuluxananan
    • Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
Case Report

DOI: 10.1007/s00404-001-0284-1

Cite this article as:
Phupong, V., Ultchaswadi, P., Charakorn, C. et al. Arch Gynecol Obstet (2003) 267: 163. doi:10.1007/s00404-001-0284-1

Abstract 

Eisenmenger’s syndrome in pregnancy is associated with a high maternal and fetal morbidity and mortality. When it occurs with severe preeclampsia, the morbidity and mortality are higher. We report the case of a 30 weeks’ pregnant woman with Eisenmenger’s syndrome and severe preeclampsia. Cesarean section was performed due to severe preeclampsia and an unfavorable cervix under general anesthesia. The intraoperative period was uneventful and a healthy 1300 g male infant was delivered, but the patient died on the second postoperative day due to a pulmonary embolism. This case confirms the frequently fatal maternal outcome of Eisenmenger’s syndrome in pregnancy. Early termination of pregnancy is the treatment of choice.

Keywords Eisenmenger’s syndromePregnancySevere preeclampsiaCesarean section

Copyright information

© Springer-Verlag Berlin Heidelberg 2003