<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092023000800713</article-id>
<article-id pub-id-type="doi">10.35366/115230</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Eisenmenger en paciente obstétrica. Reporte de caso en la Unidad de Terapia Intensiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Eisenmenger syndrome in an obstetric patient. Case report in the Intensive Care Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Síndrome de Eisenmenger em uma paciente obstetrica. Relato de caso na Unidade de Terapia Intensiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aldama Acevedo]]></surname>
<given-names><![CDATA[Damaris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco Ambriz]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional No. 20 ]]></institution>
<addr-line><![CDATA[Tijuana Baja California]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>8</numero>
<fpage>713</fpage>
<lpage>716</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000800713&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000800713&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000800713&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el síndrome de Eisenmenger (SE) es causado por una resistencia vascular pulmonar elevada. La hipertensión pulmonar se debe a estímulos que condicionan disfunción endotelial, como la hipoxia sostenida, el estrés por rozamiento, la hipertensión venocapilar y otros estímulos nocivos. En mujeres embarazadas con SE, el pronóstico es peor, debido a los cambios hemodinámicos propios del embarazo.  Caso clínico:  se describe el caso de una paciente embarazada con síndrome de Eisenmenger, quien ingresa a Unidad de Cuidados Intensivos, donde se diagnostica y maneja, mostrando evolución tórpida. Este es de los pocos casos de SE en pacientes obstétricas reportados en México.  Conclusión:  el SE es una condición médica que afecta a la calidad de vida de los pacientes. La mortalidad materna asociada al SE, a pesar de los nuevos tratamientos en las últimas décadas, no se ha visto beneficiada. El embarazo sigue siendo una contraindicación absoluta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Eisenmenger syndrome (SE) is caused by elevated pulmonary vascular resistance. Pulmonary hypertension is due to stimuli that cause endothelial dysfunction, such as sustained hypoxia, friction stress, venocapillary hypertension, and other noxious stimuli. In pregnant women with ES, the prognosis is worse, due to the hemodynamic changes typical of pregnancy.  Clinical case:  the case of a pregnant patient with Eisenmenger syndrome is described, who is admitted to the Intensive Care Unit, where it is diagnosed and managed, showing a torpid evolution. This is one of the few cases of ES in obstetric patients reported in Mexico.  Conclusion:  ES is a medical condition that has been seen to affect the quality of life of patients. Maternal mortality associated with SE and in recent decades despite new treatments has not benefited. Pregnancy remains an absolute contraindication.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a síndrome de Eisenmenger (SE) é causada pela elevação da resistência vascular pulmonar. A hipertensão pulmonar se deve a estímulos que condicionam a disfunção endotelial, como hipóxia sustentada, estresse por atrito, hipertensão venocapilar e outros estímulos nocivos. Em mulheres grávidas com SE, o prognóstico é pior devido às alterações hemodinâmicas da gravidez.  Caso clínico:  descrevemos o caso de uma paciente grávida com síndrome de Eisenmenger, que foi admitida na Unidade de Terapia Intensiva, onde foi diagnosticada e tratada, apresentando uma evolução lenta. Esse é um dos poucos casos de SE em pacientes obstétricas relatados no México.  Conclusão:  a SE é uma condição médica que comprovadamente afeta a qualidade de vida das pacientes. A mortalidade materna associada à SE, e nas últimas décadas, apesar dos novos tratamentos, não foi beneficiada. A gravidez continua sendo uma contraindicação absoluta.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de Eisenmenger]]></kwd>
<kwd lng="es"><![CDATA[comunicación interauricular]]></kwd>
<kwd lng="es"><![CDATA[hipertensión pulmonar]]></kwd>
<kwd lng="es"><![CDATA[paciente embarazada]]></kwd>
<kwd lng="en"><![CDATA[Eisenmenger syndrome]]></kwd>
<kwd lng="en"><![CDATA[atrial septal defect]]></kwd>
<kwd lng="en"><![CDATA[pulmonary hypertension]]></kwd>
<kwd lng="en"><![CDATA[pregnant patient]]></kwd>
<kwd lng="pt"><![CDATA[síndrome de Eisenmenger]]></kwd>
<kwd lng="pt"><![CDATA[defeito do septo atrial]]></kwd>
<kwd lng="pt"><![CDATA[hipertensão pulmonar]]></kwd>
<kwd lng="pt"><![CDATA[paciente grávida]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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