Eisenmenger Syndrome in Pregnancy: When Is It Time for ECMO?: A Case Report.

Journal Article (Journal Article)

We report the case of a 21-year-old primiparous woman at 22 weeks gestation who presented with a large uncorrected ventricular septal defect, severe pulmonary hypertension, and Eisenmenger syndrome. The patient elected for termination of pregnancy, which was performed under regional anesthesia. Hemodynamic changes apparently associated with uterine contraction immediately after termination resulted in increased right to left shunting across the ventricular septal defect requiring urgent venovenous extracorporeal membrane oxygenation. Thrombocytopenia and systemic anticoagulation for extracorporeal membrane oxygenation presented a challenge for removal of the epidural catheter. Pulmonary hypertension was managed and she was discharged on postoperative day 35.

Full Text

Duke Authors

Cited Authors

  • Meng, M-L; Fu, A; Westhoff, C; Bacchetta, M; Rosenzweig, EB; Landau, R; Smiley, R

Published Date

  • November 15, 2018

Published In

Volume / Issue

  • 11 / 10

Start / End Page

  • 270 - 272

PubMed ID

  • 29894348

Electronic International Standard Serial Number (EISSN)

  • 2575-3126

Digital Object Identifier (DOI)

  • 10.1213/XAA.0000000000000806


  • eng

Conference Location

  • United States