Volume 26, Issue 123, May 2022

Ventricular septal defect (VSD) with Eisenmenger Syndrome in a pregnant female- A case report

Sai Nupur Bhedodkar^1♦, Sudheer Babu², Manasa Reddy¹, Kuruva Shruthi¹, Tanmayee Y¹, Anusha G¹, Dondapat Sony¹, Poojita Reddy¹, Sravanthi T¹

¹Post Graduate Resident, Department of Obstetrics and Gynaecology, Sri Venkata Sai Medical College, Yenugonda, Mahaboobnagar, Telangana, India
²Professor and Head of Department, Department of Obstetrics and Gynaecology, Sri Venkata Sai Medical College, Yenugonda, Mahaboobnagar, Telangana, India

^♦Corresponding author
Post Graduate Resident, Department of Obstetrics and Gynaecology, Sri Venkata Sai Medical College, Yenugonda, Mahaboobnagar, Telangana, India

ABSTRACT

Eisenmenger syndrome (ES) is a condition where a previous congenital heart disease with right to left shunt eventually because of development of pulmonary arteria hypertension converts into a left to right shunt bypassing the lungs. Patients who were previously acyanotic become cyanotic and hypoxic. ES when associated with pregnancy increases the maternal and foetal risk. There is a 50% risk of sudden maternal death in ES. The overall estimated foetal wastage is reported to be up to 75%. Therefore patients with ES are advised not to conceive and if they become pregnant should terminate pregnancy by the end of first trimester. Treatment of these patients requires a multi-specialist care when termination of pregnancy is inevitable. We present an antenatal case of VSD with ES.

Keywords: Pulmonary, hypertension, trimester, acyanotic, cyanosis

Medical Science, 2022, 26, ms195e2006

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DOI: https://doi.org/10.54905/disssi/v26i123/ms195e2006

Published: 28 May 2022