Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2023; 11(27): 6597-6602
Published online Sep 26, 2023. doi: 10.12998/wjcc.v11.i27.6597
Anesthetic management of a pregnant patient with Eisenmenger’s syndrome: A case report
Ying Zhang, Ting-Ting Wei, Gang Chen
Ying Zhang, Ting-Ting Wei, Gang Chen, Department of Anesthesiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, Zhejiang Province, China
Author contributions: Zhang Y and Chen G reviewed the literature and contributed to manuscript drafting; Zhang Y and Wei TT analyzed and interpreted the imaging findings; Zhang Y, Wei TT, and Chen G were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gang Chen, PhD, Chief Doctor, Department of Anesthesiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, No. 3 Qingchun Road, Hangzhou 310006, Zhejiang Province, China. chengang120@zju.edu.cn
Received: June 24, 2023
Peer-review started: June 24, 2023
First decision: July 28, 2023
Revised: August 8, 2023
Accepted: August 17, 2023
Article in press: August 17, 2023
Published online: September 26, 2023
Core Tip

Core Tip: Eisenmenger’s syndrome (ES) is a rare complication of congenital heart disease, with a high maternal mortality of 30%-70%. We present a rare case of a pregnant woman with ES after cardiac surgery. The patient elected to terminate the pregnancy under adequate preoperative preparation, rigorous intraoperative monitoring, and perfect epidural anesthesia. Our experience in this case suggests that successful outcomes are possible in pregnant patients with ES for termination of pregnancy under epidural anesthesia and intensive monitoring.