Heytens L, Alexander J P
Acta Anaesthesiol Belg. 1986;37(1):45-51.
Pregnancy in patients with Eisenmenger's syndrome is known to be associated with a high incidence of maternal and perinatal death. Complications can occur before and during parturition but are most hazardous in the early postpartum period. If the exact causes of maternal death remain in most instances unknown, hypovolemia with augmented pulmonary to systemic shunt, thromboembolism and cardiac arrythmias are often mentioned as the primary causes of mortality. We report the unsuccessful management of a pregnant patient with Eisenmenger's disease despite all possible precautions as reported in the literature had been taken. We discuss these precautions and more specifically the type of anesthesia that is best given, the prophylactic methods of anticoagulation and the benefit of monitoring techniques in the management of such complex pathologies.
已知艾森曼格综合征患者怀孕与孕产妇和围产期高死亡率相关。并发症可在分娩前和分娩期间发生，但在产后早期最为危险。尽管在大多数情况下孕产妇死亡的确切原因尚不清楚，但血容量不足伴肺到体循环分流增加、血栓栓塞和心律失常常被提及为主要死亡原因。我们报告了一名患有艾森曼格病的孕妇，尽管已采取了文献报道的所有可能预防措施，但治疗仍未成功。我们讨论了这些预防措施，更具体地讨论了最佳麻醉类型、抗凝预防方法以及监测技术在此类复杂病症管理中的益处。
