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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.24

Abstract

Background: Eisenmengers syndrome consists of pulmonary hypertension with a reversed or bidirectional shunt at the atrioventricular or aortopulmonary level.Maternal mortality in the presence of Eisenmengers syndrome is reported to be up to 50% and increases more if there is comorbidity. Case Report: We report successful outcome in a primi with Eisenmengers syndrome with severe preeclampsia that underwent emergency lower segment caesarean section for foetal bradycardia. Conclusion: Pregnancy should be avoided in case of Eisenmengers syndrome, but one can expect good outcome even with other co morbidity with coordinated multidisciplinary approach with cardiologist, cardiothoracic surgeon, anesthesiologist and obstetrician with intense monitoring to detect adverse maternal and fetal outcome.

Keywords: Eisenmengers Syndrome; Severe Preeclampsia; Pregnancy; Outcome. 

Corresponding Author : Nalini Sharma, Assistant Professor, Department of Obstetrics and Gynecology B 1 D, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong.