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

Давыдов А. И., Ананичева Н. А., Белкореy О. С., Боярков А. В., Захарова Е. Г., Кричевскиy Л. А., Проценко Д. Н., Рyбаков В. Y., Трошчанскиy Д. В., Таирова М. Б.

Вопросы гинекологии, акушерства и перинатологии

Т. 16, Вып. 5, С. 89-93

Опубликовано: 2017

Тип ресурса: Статья

DOI:10.20953/1726-1678-2017-5-89-93

Аннотация:

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 2A. 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 comp

Ключевые слова:

Eisenmenger's syndrome; Functional class III-IV; High pulmonary hypertension; Pulmonary heart disease; Secondary erythrocytosis; Submucosal uterine fibroid; Uterine bleeding

Язык текста: Русский

ISSN: 2414-9152

Давыдов А. И. Александр Ильгизирович 1961-

Ананичева Н. А.

Белкореy О. С.

Боярков А. В.

Захарова Е. Г.

Кричевскиy Л. А.

Проценко Д. Н.

Рyбаков В. Y.

Трошчанскиy Д. В.

Таирова М. Б. Марина Борисовна 1985-

Davy'dov A. I. Aleksandr Il`gizirovich 1961-

Ananicheva N. A.

Belkorey O. S.

Boyarkov A. V.

Zakharova E. G.

Krichevskiy L. A.

Protsenko D. N.

Rybakov V. Y.

Troshchanskiy D. V.

Tairova M. B. Marina Borisovna 1985-

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

Текст визуальный непосредственный

Вопросы гинекологии, акушерства и перинатологии

ООО "Издательство "Династия"

Т. 16, Вып. 5 С. 89-93

2017

Статья

Eisenmenger's syndrome Functional class III-IV High pulmonary hypertension Pulmonary heart disease Secondary erythrocytosis Submucosal uterine fibroid Uterine bleeding

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 2A. 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 comp