Full Text:   <496>

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On-line Access: 2023-01-10

Received: 2022-07-10

Revision Accepted: 2022-09-18

Crosschecked: 2023-01-16

Cited: 0

Clicked: 611

Citations:  Bibtex RefMan EndNote GB/T7714

 ORCID:

Jianhua LIN

Jianhua LIN, https://orcid.org/0000-0002-2121-3473

Ning ZHANG

Ning ZHANG, https://orcid.org/0000-0001-6306-4819

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Journal of Zhejiang University SCIENCE B 2023 Vol.24 No.1 P.89-93

http://doi.org/10.1631/jzus.B2200368


Multidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome


Author(s):  Shibin HONG, Xin KANG, Ka U. LIO, Yiping LE, Chuan WANG, Jianhua LIN, Ning ZHANG

Affiliation(s):  Department of Obstetrics and Gynecology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; more

Corresponding email(s):   ningning1723@126.com, linjhuarj@126.com

Key Words:  Term pregnancy, Eisenmenger syndrome, Severe pulmonary hypertension, Multidisciplinary team (MDT)


Shibin HONG, Xin KANG, Ka U. LIO, Yiping LE, Chuan WANG, Jianhua LIN, Ning ZHANG. Multidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome[J]. Journal of Zhejiang University Science B, 2023, 24(1): 89-93.

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author="Shibin HONG, Xin KANG, Ka U. LIO, Yiping LE, Chuan WANG, Jianhua LIN, Ning ZHANG",
journal="Journal of Zhejiang University Science B",
volume="24",
number="1",
pages="89-93",
year="2023",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B2200368"
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%A Shibin HONG
%A Xin KANG
%A Ka U. LIO
%A Yiping LE
%A Chuan WANG
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%A Ning ZHANG
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%DOI 10.1631/jzus.B2200368

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A1 - Xin KANG
A1 - Ka U. LIO
A1 - Yiping LE
A1 - Chuan WANG
A1 - Jianhua LIN
A1 - Ning ZHANG
J0 - Journal of Zhejiang University Science B
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DOI - 10.1631/jzus.B2200368


Abstract: 
Pregnancy in patients with eisenmenger syndrome (ES) is associated with high maternal mortality rates of 30%‒50%, or even up to 65% in the case of a cesarean section (Yuan, 2016). Here, we report a case of term pregnancy complicated with ES and severe pulmonary artery hypertension (PAH), which was managed by a multidisciplinary team (MDT) and resulted in an uncomplicated delivery via elective cesarean section. The goal of this study is to emphasize the importance of multidisciplinary approach in the management of pregnancy with ES, which can profoundly improve maternal and infant outcomes.

足月妊娠合并艾森曼格综合征的多学科治疗

洪士彬1,2,康昕1,Ka U.LIO3,乐怡平1,汪川1,林建华1,张宁1,2
1上海交通大学医学院附属仁济医院妇产科,中国上海市,200127
2上海交通大学医学院附属仁济医院上海市妇科肿瘤重点实验室,中国上海市,200127
3天普大学医院内科,美国宾夕法尼亚,19140
概要:妊娠合并心脏病的发病率为0.5%~3.0%,是导致孕产妇死亡的非产科病因首位。而重度肺动脉高压的处理最为棘手,合并艾森曼格综合征的孕产妇死亡率高达30%~50%,剖宫产患者甚至达65%~75%。妊娠合并重度肺动脉高压属于妊娠禁忌,一旦诊断需尽快终止妊娠,能达足月妊娠者临床非常罕见。本文报道一例足月妊娠合并重度肺动脉高压和艾森曼格综合征患者的成功诊治,旨在提高产科医师对该合并症的重视和多学科管理,并提高对该疾病围手术期的精细诊疗水平。

关键词:足月妊娠;艾森曼格综合征;重度肺动脉高压;多学科团队(MDT)

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

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[8]SlaibiA, IbraheemB, MohannaF, 2021. Challenging management of a pregnancy complicated by eisenmenger syndrome; a case report. Ann Med Surg (Lond), 69:102721.

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