[Eisenmenger's syndrome and pregnancy]

Area of Science:

• Cardiology
• Obstetrics
• Maternal-Fetal Medicine

Background:

• Eisenmenger's syndrome, a severe congenital heart defect, poses significant risks during pregnancy.
• Management typically involves discouraging pregnancy, early termination, or intensive maternal supervision.

Observation:

• A 23-year-old woman with secondary Eisenmenger's syndrome (diagnosed at 19) presented at 26 weeks gestation.
• She successfully delivered a healthy infant via vacuum extraction at 38 weeks gestation.

Findings:

• The delivery was managed with peripartal antibiotic prophylaxis and oxygen support.
• Ergotamine derivatives were avoided, blood loss was controlled and replaced.
• The mother and infant were discharged without complications on the 9th postpartum day.

Implications:

• This case demonstrates successful pregnancy management and delivery in a patient with Eisenmenger's syndrome.
• Highlights the importance of individualized, intensive care for high-risk pregnancies.
• Supports the feasibility of carrying high-risk pregnancies to term with meticulous medical oversight.