Gynecology, Obstetrics and Perinatology

High pulmonary hypertension, Eisenmenger’s syndrome and submucosal uterine fibroid. A multidisciplinary solution

A clinical case of a female patients, born 1976, diagnosed with: «Congenital heart defect (large subaortic ventricular septal defect – Eisenmenger’s syndrome). High pulmonary hypertension, functional class III–IV. Pulmonary heart disease: tricuspid valve insufficiency grade 2. Circulatory insufficiency stage 2А. Stage 3 hypertension, arterial hypertension grade1, risk for cardiovascular events 4. Irondeficiency condition. Secondary erythrocytosis. Submucosal uterine myoma. Menometrorrhagia. Polymenorrhea». A broad council of physicians recommended surgical treatment in the scope of endoscopic transcervical myomectomy with total endometrial ablation and ligation of the descending branches of the uterine arteries. General anaesthesia with mechanical lung ventillation was chosen. Norepinephrine infusion was performed prior to induction of general anaesthesia to maintain systolic arterial pressure above 140 mmHg and decrease intracardiac right-to-left shunt. No intra- or postoperative complications were noted, blood loss within 50 ml. 

Key words: Eisenmenger’s syndrome, high pulmonary hypertension, functional class III–IV, pulmonary heart disease, secondary erythrocytosis, submucosal uterine fibroid, uterine bleeding.

For citation: Davydov A.I., Ananicheva N.A., Belkorey O.S., Boyarkov A.V., Zakharova E.G., Krichevskiy L.A., Protsenko D.N., Rybakov V.Yu., Troshchanskiy D.V., Tairova M.B. High pulmonary hypertension, Eisenmenger’s syndrome and submucosal uterine fibroid. A multidisciplinary solution. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2017; 16(5): 89–93. (In Russian).
DOI: 10.20953/1726-1678-2017-5-89-93

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