Affiliation(s):
Department of Obstetrics and Gynecology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China;
moreAffiliation(s): Department of Obstetrics and Gynecology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; Shanghai Key Laboratory of Gynecologic Oncology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; Department of Medicine, Temple University Hospital, Lewis Katz School of Medicine at Temple University, Philadelphia, PA 19140, USA;
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Shibin HONG, Xin KANG, Ka U. LIO, Yiping LE, Chuan WANG, Jianhua LIN, Ning ZHANG. Multidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome[J]. Journal of Zhejiang University Science B, 2023, 24(7): 89-93.
@article{title="Multidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome", author="Shibin HONG, Xin KANG, Ka U. LIO, Yiping LE, Chuan WANG, Jianhua LIN, Ning ZHANG", journal="Journal of Zhejiang University Science B", volume="24", number="1", pages="89-93", year="2023", publisher="Zhejiang University Press & Springer", doi="10.1631/jzus.B2200368" }
%0 Journal Article %T Multidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome %A Shibin HONG %A Xin KANG %A Ka U. LIO %A Yiping LE %A Chuan WANG %A Jianhua LIN %A Ning ZHANG %J Journal of Zhejiang University SCIENCE B %V 24 %N 1 %P 89-93 %@ 1673-1581 %D 2023 %I Zhejiang University Press & Springer
TY - JOUR T1 - Multidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome A1 - Shibin HONG A1 - Xin KANG A1 - Ka U. LIO A1 - Yiping LE A1 - Chuan WANG A1 - Jianhua LIN A1 - Ning ZHANG J0 - Journal of Zhejiang University Science B VL - 24 IS - 1 SP - 89 EP - 93 %@ 1673-1581 Y1 - 2023 PB - Zhejiang University Press & Springer ER -
Abstract: Pregnancy in patients with Eisenmenger syndrome (ES) is associated with high maternal mortality rates of 30%‒50%, or even up to 65% in the case of a cesarean section (Yuan, 2016). Here, we report a case of term pregnancy complicated with ES and severe pulmonary artery hypertension (PAH), which was managed by a multidisciplinary team (MDT) and resulted in an uncomplicated delivery via elective cesarean section. The goal of this study is to emphasize the importance of multidisciplinary approach in the management of pregnancy with ES, which can profoundly improve maternal and infant outcomes.
Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article
Reference
[1]BallardW III, DixonB, McEvoyCA, et al., 2021. Pulmonary arterial hypertension in pregnancy. Cardiol Clin, 39(1):109-118.
[2]KarsentyC, WaldmannV, MulderB, et al., 2021. Thromboembolic complications in adult congenital heart disease: the knowns and the unknowns. Clin Res Cardiol, 110(9):1380-1391.
[3]LopezBM, MalhaméI, DaviesLK, et al., 2020. Eisenmenger syndrome in pregnancy: a management conundrum. J Cardiothorac Vasc Anesth, 34(10):2813-2822.
[4]MaciejewskiT, DarochaT, KiermaszK, et al., 2019. Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension—a case report. Anaesthesiol Intensive Ther, 51(1):70-71.
[5]Regitz-ZagrosekV, Roos-HesselinkJW, BauersachsJ, et al., 2018. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy: the Task Force for the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J, 39(34):3165-3241.
[6]Schaefer-ProkopC, ProkopM, 2008. CTPA for the diagnosis of acute pulmonary embolism during pregnancy. Eur Radiol, 18(12):2705-2708.
[7]SimonneauG, MontaniD, CelermajerDS, et al., 2019. Haemodynamic definitions and updated clinical classification of pulmonary hypertension. Eur Respir J, 53:1801913.
[8]SlaibiA, IbraheemB, MohannaF, 2021. Challenging management of a pregnancy complicated by eisenmenger syndrome; a case report. Ann Med Surg (Lond), 69:102721.
[9]YangJZ, FernandesTM, KimNH, et al., 2021. Pregnancy and pulmonary arterial hypertension: a case series and litera
[10]ture review. Am J Obstet Gynecol MFM, 3(4):100358.
[12]ZhangJL, LuJK, ZhouXR, et al., 2018. Perioperative management of pregnant women with idiopathic pulmonary arterial hypertension: an observational case series study from China. J Cardiothorac Vasc Anesth, 32(6):2547-2559.
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