{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T22:57:28Z","timestamp":1782601048874,"version":"3.54.5"},"reference-count":26,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,8,19]]},"abstract":"<jats:p>A 30-year-old primigravida with no known comorbidities presented to the emergency department at 29+6\/40 gestation, with breathlessness. The initial diagnosis was pulmonary embolism, which was later revised following initial investigations and considered to be pre-eclampsia\/HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome. Following caesarean section and delivery of a live baby, the patient had episodes of cyanotic hypoxia and was admitted to intensive care. A provisional diagnosis of idiopathic pulmonary hypertension was performed. Decompensation led to transfer to a specialist intensive care unit for extracorporeal membrane oxygenation, where a diagnosis of patent ductus arteriosus and Eisenmenger's syndrome was made. Heart disease is the leading indirect cause of maternal death, and Eisenmenger's syndrome in pregnancy carries a 50\u201365% mortality. A literature review demonstrated that this is the only reported case of a postnatal diagnosis of Eisenmenger's syndrome. We considered missed opportunities to make an earlier diagnosis, so that patients and doctors will benefit from the lessons we learnt.<\/jats:p>","DOI":"10.1136\/bcr-2015-209938","type":"journal-article","created":{"date-parts":[[2015,9,14]],"date-time":"2015-09-14T03:18:49Z","timestamp":1442200729000},"page":"bcr2015209938","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Postnatal diagnosis of maternal congenital heart disease: missed opportunities"],"prefix":"10.1136","volume":"2015","author":[{"given":"Ananya","family":"Vashisht","sequence":"first","affiliation":[{"name":"Royal Preston Hospital, Preston, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narmada","family":"Katakam","sequence":"additional","affiliation":[{"name":"Royal Bolton Hospital, Bolton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samina","family":"Kausar","sequence":"additional","affiliation":[{"name":"Royal Bolton Hospital, Bolton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neena","family":"Patel","sequence":"additional","affiliation":[{"name":"Royal Bolton Hospital, Bolton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Stratton","sequence":"additional","affiliation":[{"name":"Royal Bolton Hospital, Bolton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,9,14]]},"reference":[{"issue":"(Suppl 1)","key":"2025082704101036000_2015.sep13_1.bcr2015209938.1","first-page":"1","article-title":"Saving Mother's Lives: Reviewing maternal deaths to make motherhood safer 2006\u20132008. 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