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Volume 27, Issue 132, February 2023

Fruitful case of Eisenmenger syndrome with ventricular septal defect in a case of pregnancy: A case report

Kamlesh Chaudhari¹,Sanket Bakshi², Tanvi Chaurasia³

¹Professor, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher education and research (Deemed to be University), Wardha, Maharashtra, India
²Intern, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
³Junior Resident, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Eisenmenger syndrome (ES) is an absolute contraindication to pregnancy. ES is distinguished by a congenital heart defect that causes a significant anatomical shunt. Hemodynamic forces cause a left-right shunt, resulting in severe pulmonary arterial hypertension (PAH). Because of increased pulmonary vascular resistance, the shunt will eventually become a right-toleft shunt, resulting in significant hypoxemia and cyanosis. The significant maternal morbidity in individuals with Eisenmenger's syndrome, including heart failure, dyspnoea, syncope and abrupt death, is a result of the circulatory alterations that take place during pregnancy. As a result, ES is considered to be completely contraindicated during pregnancy. Appropriate ES management entails assembling a multidisciplinary team to carefully and thoroughly monitor and manage the patient, Oxygen therapy, vigorous pulmonary vasodilator therapy, and care from a specialised multidisciplinary team may reduce mortality if a woman with ES decides to carry the pregnancy to term. We present a case of Eisenmenger syndrome with ventriclular septal defects with severe PAH in a 27-year-old woman who had a caesarean section at 35 weeks of pregnancy. She gave birth to a healthy baby girl. She was discharged on the seventh postoperative day with no complications.

Keywords: Pregnancy, Eisenmenger's syndrome, ventricular septal defect