A Síndrome de Eisenmenger (SE) é uma forma de hipertensão arterial pulmonar (HAP), que significa ter pressão alta nas artérias dos pulmões. Ela está associada a problemas cardíacos congênitos (defeitos no coração que a pessoa nasce) que não foram corrigidos por cirurgia. A síndrome se caracteriza por malformações no coração que fazem com que o sangue comece a fluir de forma anormal – na direção oposta ou em ambos os sentidos – através de uma comunicação (uma espécie de "atalho" ou "abertura") dentro do coração ou entre os grandes vasos sanguíneos (normalmente entre a aorta e a artéria pulmonar). Essa situação leva ao desenvolvimento da pressão alta nas artérias pulmonares (HAP).
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A Síndrome de Eisenmenger (SE) é uma forma de hipertensão arterial pulmonar (HAP), que significa ter pressão alta nas artérias dos pulmões. Ela está associada a problemas cardíacos congênitos (defeitos no coração que a pessoa nasce) que não foram corrigidos por cirurgia. A síndrome se caracteriza por malformações no coração que fazem com que o sangue comece a fluir de forma anormal – na direção oposta ou em ambos os sentidos – através de uma comunicação (uma espécie de "atalho" ou "abertura") dentro do coração ou entre os grandes vasos sanguíneos (normalmente entre a aorta e a artéria pulmonar). Essa situação leva ao desenvolvimento da pressão alta nas artérias pulmonares (HAP).
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Publicações mais relevantes
Protocol for an open-label, randomised, controlled trial to evaluate the efficacy and safety of sotatercept add-on therapy compared with pulmonary vasodilator-based standard of care for pulmonary vasodilator-resistant pulmonary arterial hypertension associated with unrepaired congenital shunts (atrial septal defect, ventricular septal defect or patent ductus arteriosus), including Eisenmenger syndrome: the SuMILE trial.
Eisenmenger syndrome and pulmonary arterial hypertension (PAH) due to unrepaired congenital shunts, including atrial septal defect (ASD), ventricular septal defect (VSD) and patent ductus arteriosus (PDA), remain life-threatening conditions despite advances in congenital heart disease (CHD) care. In this population, vasodilator-based therapies effective in other forms of PAH have shown limited benefit, and no disease-modifying treatment has been established. Sotatercept, an activin-signalling inhibitor, improved exercise capacity and haemodynamics in phase 2/3 PAH trials; however, patients with unrepaired CHD, including Eisenmenger syndrome, were excluded. The efficacy and safety of sotatercept in this population remain unknown. The SuMILE trial is a prospective, exploratory, multicentre, open-label, randomised, controlled trial conducted at 11 Japanese tertiary centres. 36 adults with vasodilator-resistant PAH due to unrepaired ASD, VSD or PDA, including Eisenmenger syndrome, will be randomised 2:1 to sotatercept add-on therapy plus vasodilator-based PAH therapy versus vasodilator-based PAH therapy alone. Sotatercept will be administered subcutaneously every 3 weeks in accordance with label-approved dose-modification rules for haemoglobin and platelet changes. The primary endpoint is the change in 6-min walk distance from baseline to week 24. Key clinical events will be independently adjudicated. Secondary endpoints include all-cause mortality or lung transplantation; pulmonary hypertension-related hospitalisation or initiation of parenteral prostacyclin and changes in WHO functional class, N-terminal pro-brain natriuretic peptide and emPHasis-10. Exploratory endpoints include genotype, right heart catheterisation and cardiac MRI parameters. The primary analysis will use ANCOVA, adjusting for baseline 6-min walk distance and randomisation stratum in the intention-to-treat population. The protocol has been reviewed and approved by the certified central review board (Kyushu University Hospital Clinical Ethics Review Board) and participating institutions. Written informed consent will be obtained from all participants. Findings will be disseminated through peer-reviewed journals, scientific conferences and trial registries. Japan Registry of Clinical Trials no. 1071250069; ClinicalTrials.gov NCT07356778. Protocol version and date: V.1.3; 23 October 2025.
Sotatercept in Patients With Eisenmenger Syndrome.
Eisenmenger syndrome represents a complex and severe form of pulmonary arterial hypertension (PAH) associated with congenital heart disease. Sotatercept, a first-in-class activin-signaling inhibitor, offers a novel therapeutic approach in the treatment of PAH, and has emerged as a promising therapeutic agent. However, patients with Eisenmenger syndrome were not included in its pivotal trials. Therefore, data regarding its effect in this patient cohort is lacking. We present two cases of patients with Eisenmenger syndrome treated with sotatercept. Sotatercept improved the subjective and objective exercise capacity in both patients without any significant adverse side effects.
A Dissecting Pulmonary Aneurysm Complicating Eisenmenger Syndrome.
Unrepaired Truncus Arteriosus Type 1 With Eisenmenger Syndrome and Recurrent Embolic Strokes: An Adult Case Report.
BACKGROUND In adults, non-corrected truncus arteriosus type 1 with Eisenmenger syndrome is a rare congenital heart defect characterized by a single large artery from the heart that directs blood flow to the lungs, leading to irreversible pulmonary hypertension and a reversal of blood flow. This report describes the case of a 44-year-old woman with congenital Eisenmenger syndrome and unrepaired truncus arteriosus type 1 presenting with recurrent thromboembolic cerebral infarcts. CASE REPORT A 44-year-old woman presented with a 2-month history of recurrent neurological deficits, including aphasia, right-sided weakness, and vertigo. Magnetic resonance imaging (MRI) of the brain confirmed acute embolic infarcts, while computed tomography (CT) angiography ruled out large-vessel occlusion. Cardiac evaluation revealed a 15-mm perimembranous ventricular septal defect with a bidirectional shunt and a severely calcified truncal valve with moderate regurgitation. Imaging confirmed truncus arteriosus type 1, with the pulmonary arteries originating from the ascending aorta. The right ventricular systolic pressure was estimated at 114 mmHg, and baseline oxygen saturation (SpO₂) was 70-80%. Due to irreversible pulmonary vascular disease, she was not a candidate for surgical repair. A conservative management strategy was adopted, including dual antiplatelet therapy, sildenafil, macitentan, bisoprolol, and oxygen therapy. At the 6-month follow-up, the patient remained neurologically stable with her SpO₂ improved to 85-88%. CONCLUSIONS This case highlights the exceptional natural course of uncorrected truncus arteriosus in adulthood. It underscores that for patients with Eisenmenger physiology where surgical repair is not feasible, a multidisciplinary approach focusing on tailored antithrombotic and pulmonary vasodilator therapies is essential for stroke prevention and clinical stability.
Risk stratification for adult patients with pulmonary arterial hypertension associated with congenital heart disease. A scientific statement of the ESC Working Group on Pulmonary Circulation & Right Ventricular Function, the ESC Working Group on Adult Congenital Heart Disease, and the Association of Cardiovascular Nursing & Allied Professions of the ESC.
For patients with pulmonary arterial hypertension (PAH), current guidelines recommend a 3- and 4-strata risk stratification model at baseline and follow-up, respectively. Risk stratification models in PAH are mainly derived from idiopathic PAH cohorts and are not automatically applicable to all patients with PAH associated with congenital heart disease (CHD), especially in those with Eisenmenger syndrome, given the differences in pathophysiology and clinical phenotype. Additional features such as shunt location, complexity of CHD, degree of cyanosis, iron deficiency, syndromic co-morbidity and biomarkers, other than brain natriuretic peptide may play an important role in the prognostication of these patients. This scientific statement aims to discuss in detail individual prognosticators and propose a comprehensive model of risk stratification for patients with PAH-CHD, mainly those with Eisenmenger syndrome.
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📚 EuropePMC528 artigos no totalmostrando 200
A Dissecting Pulmonary Aneurysm Complicating Eisenmenger Syndrome.
European heart journal. Cardiovascular ImagingProtocol for an open-label, randomised, controlled trial to evaluate the efficacy and safety of sotatercept add-on therapy compared with pulmonary vasodilator-based standard of care for pulmonary vasodilator-resistant pulmonary arterial hypertension associated with unrepaired congenital shunts (atrial septal defect, ventricular septal defect or patent ductus arteriosus), including Eisenmenger syndrome: the SuMILE trial.
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European heart journal. Case reportsEisenmenger Syndrome Combined with Pulmonary Artery Aneurysm and Dissection.
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Frontiers in medicineGiant right pulmonary artery aneurysm in Eisenmenger syndrome.
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CureusPerioperative Management of an Obstetric Patient with Eisenmenger Syndrome and Pre-Eclampsia Using Milrinone.
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Frontiers in cardiovascular medicineRemimazolam in perioperative management of Eisenmenger syndrome: a case report.
JA clinical reportsNoncardiac surgery in Eisenmenger syndrome.
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Journal of cardiothoracic surgeryOne-minute sit-to-stand test in patients with pulmonary arterial hypertension associated with congenital heart disease: A single-center prospective study.
Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheoresePulmonary vascular disease as a complication of pediatric congenital heart diseases.
Translational pediatricsHeart-lung transplantation in Eisenmenger syndrome with pulmonary embolisms.
The American journal of the medical sciencesRisk Assessment Tool Implementation in Congenital Heart Disease-Associated Pulmonary Arterial Hypertension.
Anatolian journal of cardiologyFatal Association of Eisenmenger Syndrome and Severe Preeclampsia.
CureusDe novo progressive dural arteriovenous fistula with putamen hemorrhage associated with long-term Down syndrome: A case report and literature review.
Radiology case reportsEisenmenger syndrome combined with pulmonary artery dissecting aneurysm.
European heart journalManagement and outcomes of pulmonary artery hypertension and Eisenmenger syndrome during pregnancy: a prospective observational cohort study.
BJOG : an international journal of obstetrics and gynaecologyAtrial fibrillation ablation in a single atrium with inferior vena cava interruption.
Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, IncCharacteristics, treatments and survival of pulmonary arterial hypertension associated with congenital heart disease in China: Insights from a national multicenter prospective registry.
The Journal of heart and lung transplantation : the official publication of the International Society for Heart TransplantationCommon congenital heart problems in acute and intensive care.
European heart journal. Acute cardiovascular careAdvanced heart failure in adult congenital heart disease: the role of renal dysfunction in management and outcomes.
European journal of preventive cardiologyOutcome of Down patients with repaired versus unrepaired atrioventricular septal defect.
International journal of cardiology. Congenital heart diseaseImpact of current targeted drug therapy on the prognosis of Eisenmenger syndrome: A large-scale retrospective analysis.
Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheoreseSuccessful delivery in a woman with ventricular septal defect complicated with Eisenmenger syndrome: case report.
The Pan African medical journalAn Unusual Presentation of Eisenmenger Syndrome in a Middle-Aged Woman Without Known Cardiac History.
CureusUniventricular hearts not undergoing Fontan: the type of palliation matters.
Revista espanola de cardiologia (English ed.)A Caseating Tricuspid Mass in an Adult With Eisenmenger Syndrome Secondary to Aorto-Pulmonary Window.
JACC. Case reportsCongenital unilateral absence of right pulmonary artery with VSD and wide aortopulmonary window in an adult patient: a case report.
Annals of medicine and surgery (2012)Successful Eisenmenger syndrome-targeted drug therapy in pregnant women: a case series and literature review.
BJOG : an international journal of obstetrics and gynaecology[Nacimiento anómalo de arteria pulmonar derecha en un paciente joven con síndrome de eisenmenger].
Archivos de cardiologia de MexicoCase report: Thoughts on two cases of total anomalous pulmonary venous connection complicated with pulmonary artery hypertension.
Frontiers in cardiovascular medicineCyanotic Congenital Heart Disease in Pregnancy: A Review of Pathophysiology and Management.
Cardiology in reviewOutcomes of heart-lung transplantation in Eisenmenger syndrome compared to primary pulmonary hypertension.
Asian cardiovascular & thoracic annalsMultidisciplinary approach for the management of term pregnancy complicated by Eisenmenger syndrome.
Journal of Zhejiang University. Science. BPregnancy in Eisenmenger syndrome: a case series from a tertiary care hospital of Northern India.
Cardiology in the youngCharacteristics of exercise intolerance in different subgroups of pulmonary arterial hypertension associated with congenital heart disease.
International journal of cardiologyNovel Hybrid Treatment for Pulmonary Arterial Hypertension with or without Eisenmenger Syndrome: Double Lung Transplantation with Simultaneous Endovascular or Classic Surgical Closure of the Patent Ductus Arteriosus (PDA).
Journal of cardiovascular development and diseasePregnancy outcomes of women with Eisenmenger syndrome: A single-center study.
International journal of cardiologyUndiagnosed ventricular septal defect with resultant Eisenmenger syndrome presenting with diplopia.
The American journal of emergency medicineSurvival of patients with congenital ventricular septal defect.
European heart journalPartial anomalous pulmonary venous return in adults: Insight into pulmonary hypertension.
International journal of cardiology. Congenital heart diseaseDetection and evaluation of myocardial fibrosis in Eisenmenger syndrome using cardiovascular magnetic resonance late gadolinium enhancement and T1 mapping.
Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic ResonanceLong-term course of pulmonary arterial hypertension in adults with congenital heart disease under targeted therapy: a retrospective analysis of a single tertiary center.
Cardiovascular diagnosis and therapyEvolving Indications for Heart-Lung Transplant in Spain.
Transplantation proceedings[Evidence base for specific pulmonary vasodilators in adults with congenital heart disease].
Terapevticheskii arkhivLeadless pacemaker implantation in Eisenmenger syndrome.
Revista espanola de cardiologia (English ed.)Risk of pulmonary artery dissection in adults with congenital heart disease.
International journal of cardiologyMonitored anesthesia care for craniotomy in a patient with Eisenmenger syndrome: A case report.
World journal of clinical casesTargeted Therapies in Patients with Pulmonary Arterial Hypertension Due to Congenital Heart Disease.
Current vascular pharmacologyCerebral abscess as a neurosurgical emergency in Eisenmenger syndrome: illustrative case.
Journal of neurosurgery. Case lessonsSuccessful Control of Heavy Menstrual Bleeding Using High-Intensity Focused Ultrasound Ablation of Fibroid Uterus in a Woman With Eisenmenger Syndrome.
CureusLong-Term Study on Therapeutic Strategy for Treatment of Eisenmenger Syndrome Patients: A Case Series Study.
Children (Basel, Switzerland)Status of adult outpatients with congenital heart disease in Japan: The Japanese Network of Cardiovascular Departments for Adult Congenital Heart Disease Registry.
Journal of cardiologySuccessful Bronchial Artery Embolization after Stabilization with Nitric Oxide for the Treatment of Haemoptysis in a Patient with Eisenmenger Syndrome.
Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidirCase Report: Artifactual Hypoglycemia: A Condition That Should Not Be Forgotten.
Frontiers in endocrinologyTranscatheter closure of secundum atrial septal defect using Cocoon septal occluder: immediate and long-term results.
The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of CardiologyThrombosis of aneurysmal pulmonary arteries in patent ductus arteriosus with Eisenmenger syndrome.
Annals of pediatric cardiologyLate presentation of aortopulmonary window: a contemporary series.
Indian journal of thoracic and cardiovascular surgeryEisenmenger Syndrome in Case of Extended Goldenhar Complex Treated With Heart-Lung Transplantation.
JACC. Case reportsA case series describing the multidisciplinary management of pulmonary arterial hypertension in pregnancy: Time for optimism.
The Australian & New Zealand journal of obstetrics & gynaecologyChallenges in managing a critically ill patient with decompensated Eisenmenger syndrome.
BMJ case reportsLong-Term Survival of Adult Patients With Atrial Septal Defect With Regards to Defect Closure and Pulmonary Hypertension.
Frontiers in cardiovascular medicineSuccessful bronchial artery embolization in a patient with Eisenmenger syndrome and recurrent haemoptysis.
International journal of cardiology. Congenital heart diseaseEisenmenger Syndrome Among Children with Unrepaired Congenital Heart Defects in Yunnan, China.
Pediatric cardiologyMaternal and fetal outcomes of pregnant women with pulmonary arterial hypertension associated with congenital heart disease in Beijing, China: A retrospective study.
Pulmonary circulationSpontaneous hyphema from iris microhemangioma in Eisenmenger syndrome.
American journal of ophthalmology case reportsInferior sinus venosus defect and anomalous hepatic venous return to the coronary sinus leading to an Eisenmenger syndrome.
Cardiology in the youngPregnancy in Congenital Heart Disease, Complicated by Pulmonary Arterial Hypertension-A Challenging Issue for the Pregnant Woman, the Foetus, and Healthcare Professionals.
Medicina (Kaunas, Lithuania)Evaluation of Liver Stiffness After Atrial Septal Defect Closure.
Ultrasound quarterlyPheochromocytoma and multiple paragangliomas associated with Eisenmenger syndrome: An autopsy case.
Pathology internationalTranscatheter leadless permanent pacemaker in complex congenital heart disease with interrupted inferior vena cava: A challenging implantation.
Indian pacing and electrophysiology journalRole of high-flow nasal oxygen therapy in COVID-19 pneumonia with Eisenmenger syndrome: A case report.
International journal of cardiology. Congenital heart diseaseA Case of Multifocal Extramedullary and Non-Hepatosplenic Extramedullary Hematopoiesis in a 43-Year-Old Man with a History of Congenital Eisenmenger Syndrome.
The American journal of case reportsEisenmenger Syndrome: JACC State-of-the-Art Review.
Journal of the American College of CardiologyPulmonary Hypertension in Adult Congenital Heart Disease in Asia: A Distinctive Feature of Complex Congenital Heart Disease.
Journal of the American Heart AssociationEisenmenger syndrome with left main compression syndrome: a case report.
BMC cardiovascular disordersCentral retinal artery occlusion with cilioretinal sparing in a patient with Eisenmenger syndrome.
BMJ case reportsAnaesthetic management in neurosurgery in a patient with Eisenmenger syndrome and Down syndrome. A case report.
Revista espanola de anestesiologia y reanimacionHaemoptysis in Pulmonary Arterial Hypertension Associated with Congenital Heart Disease: Insights on Pathophysiology, Diagnosis and Management.
Journal of clinical medicineFruitful Pregnancy Outcome in a Case of Eisenmenger Syndrome With Severe Pulmonary Hypertension: A Rare Case Report.
CureusCatheter Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patients With Congenital Heart Disease.
Circulation. Arrhythmia and electrophysiologyMedical treatment of pulmonary hypertension in adults with congenital heart disease: updated and extended results from the International COMPERA-CHD Registry.
Cardiovascular diagnosis and therapyExercise ventilatory reserve predicts survival in adult congenital heart disease associated pulmonary arterial hypertension with Eisenmenger physiology.
International journal of cardiology. Congenital heart diseaseCurrent Situation and Prognostic Evolution of Combined Heart-lung Transplantation in a European Union Country.
International journal of organ transplantation medicineThe use of pulmonary arterial hypertension therapies in Eisenmenger syndrome.
Expert review of cardiovascular therapyVenovenous Extracorporeal Membrane Oxygenation During Bilateral Lung Transplantation for a Patient With Eisenmenger Syndrome Complicated With Giant Pulmonary Artery Aneurysm, Azygos Continuation, and Central Airway Obstruction.
Journal of cardiothoracic and vascular anesthesiaAngiography-guided mid/high septal implantation of ventricular leads in patients with congenital heart disease.
Journal of arrhythmiaEffect of oxygen therapy on exercise performance in patients with cyanotic congenital heart disease: Randomized-controlled trial.
International journal of cardiologyAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Comunidades
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Protocol for an open-label, randomised, controlled trial to evaluate the efficacy and safety of sotatercept add-on therapy compared with pulmonary vasodilator-based standard of care for pulmonary vasodilator-resistant pulmonary arterial hypertension associated with unrepaired congenital shunts (atrial septal defect, ventricular septal defect or patent ductus arteriosus), including Eisenmenger syndrome: the SuMILE trial.
- Sotatercept in Patients With Eisenmenger Syndrome.
- A Dissecting Pulmonary Aneurysm Complicating Eisenmenger Syndrome.
- Unrepaired Truncus Arteriosus Type 1 With Eisenmenger Syndrome and Recurrent Embolic Strokes: An Adult Case Report.
- Risk stratification for adult patients with pulmonary arterial hypertension associated with congenital heart disease. A scientific statement of the ESC Working Group on Pulmonary Circulation & Right Ventricular Function, the ESC Working Group on Adult Congenital Heart Disease, and the Association of Cardiovascular Nursing & Allied Professions of the ESC.
- Early Results of Sotatercept Treatment in Patients With Severe Pulmonary Hypertension and a Potts Shunt.
- Congenital Heart Disease and Pulmonary Arterial Hypertension: Current Perspectives.
- Multimodality imaging of patent ductus arteriosus with severe pulmonary hypertension following 3 pregnancies.
- From Cyanosis to Extensive Systemic-to-Pulmonary Collaterals Formation: A Case With an Iatrogenic Connection of the Inferior Vena Cava to the Left Atrium.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:97214(Orphanet)
- MONDO:0019944(MONDO)
- GARD:6323(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q572695(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
