This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Which of the following cardiac condition has highest maternal moality in pregnancy ? \nSelect and explain. \nA. MS, B. MR, C. MVP, D. Eisenmenger syndrome', 'role': 'user'}, {'content': "Answer: D \nExplanation: Maternal moality associated with Eissenmenger's syndrome is 50%, and is also associated with high perinatal loss. In such cases, termination of pregnancy is indicated. Patients with Eisenmenger's syndrome have pulmonary hypeension with right to left shunt through an open ductus, ASD or VSD. Reference: Textbook of Obstetrics By D.C Dutta, 6e page 282.", 'role': 'assistant'}]