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

Marie Louise Meng; Annie Fu; Carolyn Westhoff; Matthew Bacchetta; Erika B. Rosenzweig; Ruth Landau; Richard Smiley

doi:10.1213/XAA.0000000000000806

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

Marie Louise Meng
, Annie Fu
, Carolyn Westhoff
, Matthew Bacchetta
, Erika B. Rosenzweig
, Ruth Landau
, Richard Smiley

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	270-272
Number of pages	3
Journal	A&A practice
Volume	11
Issue number	10
DOIs	https://doi.org/10.1213/XAA.0000000000000806
State	Published - Nov 15 2018
Externally published	Yes

ASJC Scopus subject areas

General Medicine

Access to Document

10.1213/XAA.0000000000000806

Cite this

@article{38c49eea323d46dcb84c427ce9a7817d,

title = "Eisenmenger Syndrome in Pregnancy: When Is It Time for ECMO?: A Case Report",

abstract = "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.",

author = "Meng, \{Marie Louise\} and Annie Fu and Carolyn Westhoff and Matthew Bacchetta and Rosenzweig, \{Erika B.\} and Ruth Landau and Richard Smiley",

year = "2018",

month = nov,

day = "15",

doi = "10.1213/XAA.0000000000000806",

language = "English (US)",

volume = "11",

pages = "270--272",

journal = "A\&A practice",

issn = "2325-7237",

publisher = "Wolters Kluwer Health",

number = "10",

}

TY - JOUR

T1 - Eisenmenger Syndrome in Pregnancy

T2 - When Is It Time for ECMO?: A Case Report

AU - Meng, Marie Louise

AU - Fu, Annie

AU - Westhoff, Carolyn

AU - Bacchetta, Matthew

AU - Rosenzweig, Erika B.

AU - Landau, Ruth

AU - Smiley, Richard

PY - 2018/11/15

Y1 - 2018/11/15

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85056628421

UR - https://www.scopus.com/pages/publications/85056628421#tab=citedBy

U2 - 10.1213/XAA.0000000000000806

DO - 10.1213/XAA.0000000000000806

M3 - Article

C2 - 29894348

AN - SCOPUS:85056628421

SN - 2325-7237

VL - 11

SP - 270

EP - 272

JO - A&A practice

JF - A&A practice

IS - 10

ER -

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

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this