Department of Critical Care Medicine, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China.
Perfusion. 2023 Mar;38(2):401-404. doi: 10.1177/02676591211043705. Epub 2021 Nov 11.
The incidence of heart disease in pregnancy ranges from 0.5% to 3.0% and is regarded as one of the top three causes of maternal death. The mortality rate of patients with pulmonary hypertension and Eisenmenger syndrome is as high as 16.7%-50%. Changes in haemodynamics during pregnancy and childbirth increase the burden on the heart, and induced pulmonary hypertension crisis is one of the main causes of maternal death. Extracorporeal Membrane Oxygenation (ECMO) is the last-resort treatment strategy to treat patients with pulmonary hypertension crisis. We report a ventricular septal defect in a pregnant woman with pulmonary hypertension and Eisenmenger's syndrome, which is a postpartum pulmonary hypertension crisis that leads to respiratory and circulatory disorders. The patient was successfully treated with venous-venous extracorporeal membrane oxygenation.
妊娠合并心脏病的发病率为 0.5%至 3.0%，被认为是导致孕产妇死亡的三大原因之一。患有肺动脉高压和艾森曼格综合征的患者的死亡率高达 16.7%至 50%。妊娠和分娩期间血液动力学的变化增加了心脏的负担，诱导的肺动脉高压危象是导致孕产妇死亡的主要原因之一。体外膜肺氧合（ECMO）是治疗肺动脉高压危象患者的最后手段。我们报告了一例患有肺动脉高压和艾森曼格综合征的孕妇的室间隔缺损，这是一种产后肺动脉高压危象，导致呼吸和循环障碍。该患者通过静脉-静脉体外膜肺氧合成功治疗。
