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

Publication ,  Journal Article
Meng, M-L; Fu, A; Westhoff, C; Bacchetta, M; Rosenzweig, EB; Landau, R; Smiley, R
Published in: A A Pract
November 15, 2018

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.

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Published In

A A Pract

DOI

EISSN

2575-3126

Publication Date

November 15, 2018

Volume

11

Issue

10

Start / End Page

270 / 272

Location

United States

Related Subject Headings

  • Young Adult
  • Pregnancy Complications
  • Pregnancy
  • Hypertension, Pulmonary
  • Humans
  • Heart Septal Defects, Ventricular
  • Female
  • Extracorporeal Membrane Oxygenation
  • Eisenmenger Complex
  • Adult
 

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Meng, M.-L., Fu, A., Westhoff, C., Bacchetta, M., Rosenzweig, E. B., Landau, R., & Smiley, R. (2018). Eisenmenger Syndrome in Pregnancy: When Is It Time for ECMO?: A Case Report. A A Pract, 11(10), 270–272. https://doi.org/10.1213/XAA.0000000000000806
Meng, Marie-Louise, Annie Fu, Carolyn Westhoff, Matthew Bacchetta, Erika B. Rosenzweig, Ruth Landau, and Richard Smiley. “Eisenmenger Syndrome in Pregnancy: When Is It Time for ECMO?: A Case Report.A A Pract 11, no. 10 (November 15, 2018): 270–72. https://doi.org/10.1213/XAA.0000000000000806.
Meng M-L, Fu A, Westhoff C, Bacchetta M, Rosenzweig EB, Landau R, et al. Eisenmenger Syndrome in Pregnancy: When Is It Time for ECMO?: A Case Report. A A Pract. 2018 Nov 15;11(10):270–2.
Meng, Marie-Louise, et al. “Eisenmenger Syndrome in Pregnancy: When Is It Time for ECMO?: A Case Report.A A Pract, vol. 11, no. 10, Nov. 2018, pp. 270–72. Pubmed, doi:10.1213/XAA.0000000000000806.
Meng M-L, Fu A, Westhoff C, Bacchetta M, Rosenzweig EB, Landau R, Smiley R. Eisenmenger Syndrome in Pregnancy: When Is It Time for ECMO?: A Case Report. A A Pract. 2018 Nov 15;11(10):270–272.

Published In

A A Pract

DOI

EISSN

2575-3126

Publication Date

November 15, 2018

Volume

11

Issue

10

Start / End Page

270 / 272

Location

United States

Related Subject Headings

  • Young Adult
  • Pregnancy Complications
  • Pregnancy
  • Hypertension, Pulmonary
  • Humans
  • Heart Septal Defects, Ventricular
  • Female
  • Extracorporeal Membrane Oxygenation
  • Eisenmenger Complex
  • Adult