Pregnancy in the setting of pulmonary hypertension and Eisenmenger physiology is associated with a substantial maternal and fetal risk. Such patients are advised against pregnancy or to interrupt pregnancy before 10th gestational cut of week. Maternal mortality in the presence of Eisenmenger’s syndrome (ES) is reported to be 30 to 50% [1, 2] and increases further with associated complications. When these patients decide to begin or continue a pregnancy against advice a coordinated multi-specialist care is mandatory. Overall fetal wastage is reported to be up to 75% [1]. We are presenting a woman with severe pulmonary hypertension due to Eisenmenger syndrome treated during pregnancy, delivery and postpartum.
