Síndrome de eiennmenger y embarazo

Antecedentes: El embarazo esta contraindicado en toda paciente con hipertension pulmonar, y particularmente en aquellas con sindrome de Eisenmenger. Objetivo: Describir 3 casos de embarazadas con sindrome de Eisenmenger, tratadas con sildenafil. Resultados: El desarrollo del embarazo se complico en las tres pacientes con parto prematuro, a las 30, 28 y 35 semanas, respectivamente. En 2 pacientes el parto se resolvio mediante operacion cesarea. No hubo mortalidad materna ni perinatal. Conclusion: El sindrome de Eisenmenger es de alto riesgo de morbimortalidad materno-perinatal y el manejo multidisciplinario optimiza los resultados. Se describe el uso de sildenafil. Background: Pregnancy in contraindicated in patient with pulmonary hypertension, especially in dose with Eisenmenger syndrome. Objective: To present 3 cases of pregnancy in patients with Eisenmenger syndrome treated with sildenafil. Results: The pregnancy becomes complicated in the 3 cases, with premature delivery at 30, 28 and 35 weeks respectively. Cesarean delivery was performed in two cases. There was no maternal or perinatal mortality. Conclusion: The Eisenmenger syndrome is a high risk condition of maternal-perinatal morbimortality and the multidisciplinary handling optimizes the results. The sildenafil use is described.