Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
- Accesos
Links relacionados
- Similares en SciELO
Compartir
Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
FAJARDO-RUIZ, Lizbeth Sabrina et al. Eisenmenger syndrome in 21-year pregnant patient. Ginecol. obstet. Méx. [online]. 2018, vol.86, n.3, pp.224-229. ISSN 0300-9041. https://doi.org/10.24245/gom.v86i3.1829.
BACKGROUND
Eisenmenger syndrome is congenital heart disease with a higher risk of mortality for pregnant women.
CLINICAL CASE
21-years women with Eisenmenger syndrome, whose pregnancy was accompanied by class III NYHA heart failure and systemic arterial hypertension. Pregnancy was interrupted at 30 weeks by caesarean section. Six days after the caesarean section, the patient died due to cardiogenic shock.
CONCLUSIONS
The case described here allows us to reflect on the opportunities for improvement in the care of patients with Eisenmenger syndrome. At the first level of care, it is important to focus on specific education and counseling that allows the patient and her partner to understand the implicit risks of their condition, since the safest alternative would have been to avoid pregnancy. At the second level of care, the practice based on evidence and correct coordination in the health teams should always be favored, which in this particular case would have allowed the patient, since week 14, to have been referred for highly specialized care could increase the chances of survival of her and the neonate.
Palabras llave : Eisenmenger syndrome; Pregnant patient; CongenitaPheart disease; Maternal death; Heart failure.