Anesthetic management of a pregnant patient with Eisenmenger’s syndrome:A case report  

作　　者：Ying Zhang Ting-Ting Wei Gang Chen 

机构地区：[1]Department of Anesthesiology,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University,Hangzhou 310006,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2023年第27期6597-6602,共6页世界临床病例杂志

摘　　要：BACKGROUND Eisenmenger’s syndrome(ES)is a rare complication of congenital heart disease that includes pulmonary artery hypertension and reversed or bidirectional shunts.The mortality rate of pregnant women with ES is 30%-70%due to pathophysiological deterioration.Successful perioperative management of a pregnant patient with ES is a challenge for anesthesiologists.CASE SUMMARY A 38-year-old pregnant woman was admitted to the cardiology department of our hospital at 22 wk of gestation with complaints of chest tightness and shortness of breath for 3 wk.Transthoracic echocardiography revealed a bidirectional shunt between the descending aorta and pulmonary artery after interventional closure of the patent ductus arteriosus and severe pulmonary hypertension.ES in pregnancy was our primary suspicion.The patient elected to terminate the pregnancy under adequate preoperative preparation,rigorous intraoperative monitoring,and perfect epidural anesthesia.She was discharged successfully on postoperative day 16.CONCLUSION Our experience in this case suggests that successful outcomes are possible in pregnant patients with ES for termination of pregnancy under epidural anesthesia and intensive monitoring.

关 键 词：Eisenmenger’s syndrome Pulmonary artery hypertension PREGNANCY MONITORING Epidural anesthesia Case report 

分 类 号：R735.37[医药卫生—肿瘤]