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Correspondence
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Volume 329:887 September 16, 1993 Number 12
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Eisenmenger's Syndrome in Pregnancy

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To the Editor: Eisenmenger's syndrome consists of pulmonary hypertension with a reversed or bidirectional shunt at the atrial, ventricular, or aortopulmonary level1. Pregnancy should ideally be avoided in a woman with Eisenmenger's syndrome, since it carries a high (approximately 50 percent) risk of sudden death, frequently occurring a few days postpartum2. Because pulmonary thromboembolism may be a cause of sudden death in this setting,3,4 anticoagulation in the peripartum period has been suggested as a method to lower this risk,3 but it may instead contribute to a fatal outcome.

A 32-year-old woman was transferred to our hospital. At 38 . . . [Full Text of this Article]

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